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Tera L Lotz, CNP
Pediatric Nurse Practitioner in Wyoming, Michigan
NPI 1043459167

Tera L Lotz is a Pediatric Nurse Practitioner based in Wyoming, MI and is specialized in Pediatrics. Tera L Lotz practices in Wyoming, MI and has the professional credentials of CNP. The NPI Number for Tera L Lotz is 1043459167 and holds a License No. 4704236439 (Michigan).

The current practice location address for Tera L Lotz is 5900 Byron Center Ave Sw, Wyoming, MI and can be reached out via phone at 616-252-5202.

Location: 5900 Byron Center Ave Sw, Wyoming, MI, 49519-9686
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043459167
Provider Name
Tera L Lotz
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
5900 Byron Center Ave Sw, Wyoming, MI, 49519-9686
Phone Number
616-252-5202
Fax Number
Provider Enumeration Date
02/12/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1043459167 05 MI
institution
Provider Business Practice Location Address Details
Address
5900 Byron Center Ave Sw
City
Wyoming
State
Michigan
Zip
49519-9686
Phone Number
616-252-5202
Fax Number
person
Provider Business Mailing Address Details
Address
5900 Byron Center Ave Sw
City
Wyoming
State
Michigan
Zip
49519-9686
Phone Number
616-252-5202
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
4704236439 (Michigan)
Definition
Definition to come...
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