Basic Information
Provider Information
NPI: 1871820415
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LOTNER
FirstName: DANIEL
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 858
Address2: MC A410
City: HERSHEY
State: PA
PostalCode: 170330858
CountryCode: US
TelephoneNumber: 8002431455
FaxNumber:  
Practice Location
Address1: 1000 JOHNSON FY RD NE
Address2:  
City: ATLANTA
State: GA
PostalCode: 303421606
CountryCode: US
TelephoneNumber: 4048518000
FaxNumber: 4043033759
Other Information
ProviderEnumerationDate: 11/03/2009
LastUpdateDate: 10/05/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMD446528PAN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000X078087GAY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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