MEDICARE: CHRISTINE LOTTMAN REGISTERED NURSE

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	163WA2000X	Administrator Registered Nurse	471747	CA

General Provider Information

NPI Number	:	1972376853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE LOTTMAN REGISTERED NURSE

Provider Business Mailing Address
First Line	:	4029 WESTERLY PL STE 110
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-2329
Country	:	US
Telephone Number	:	949-569-9100
Fax Number	:

Provider Business Practice Location Address
First Line	:	4029 WESTERLY PL STE 110
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-2329
Country	:	US
Telephone Number	:	949-569-9100
Fax Number	:

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

Provider Enumeration Date	:	11/02/2023
Last Update Date	:	11/02/2023

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