MEDICARE: LESLIE LOTZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	0001326127	VA

General Provider Information

NPI Number	:	1831060847
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LESLIE LOTZ

Provider Business Mailing Address
First Line	:	107 JANET ST
Second Line	:
City	:	AUBURN
State	:	NY
Zip	:	13021-3904
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	107 JANET ST
Second Line	:
City	:	AUBURN
State	:	NY
Zip	:	13021-3904
Country	:	US
Telephone Number	:	425-530-0172
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2025
Last Update Date	:	01/22/2026

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Directions to “ LESLIE LOTZ ” Practice Location

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