Most Relevant Information
Provider Data
| NPI Number: | 1003554908 |
| Provider Name: | SUMMER LOTZER |
| Entity Type: | Individual |
| Taxonomy Code: | 222Q00000X |
| Specialty: | Developmental Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/22/2022 |
| Last Updated: | 05/22/2022 |
Provider Practice Location
801 STRATFORD DR E APT 5
BOURBONNAIS
IL
609142407
Practice Location Phone/Fax
| Phone: | 8159902978 |
| Fax: |
Provider Mailing Location
801 STRATFORD DR E APT 5
BOURBONNAIS
IL
609142407
Provider Mailing Phone/Fax
| Phone: | 8159902978 |
| Fax: |