Most Relevant Information
Provider Data
| NPI Number: | 1003470048 |
| Provider Name: | LAURA LOU LHOTKA MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/25/2019 |
| Last Updated: | 03/02/2023 |
Provider Practice Location
1027 WASHINGTON AVE
DETROIT LAKES
MN
565013409
Practice Location Phone/Fax
| Phone: | 2188442300 |
| Fax: |
Provider Mailing Location
1027 WASHINGTON AVE
DETROIT LAKES
MN
565013409
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |