Provider Demographics
NPI:1033674957
Name:LOTTMAN, DAVID AARON
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:AARON
Last Name:LOTTMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2860 FALCONHILL DR
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32712-2443
Mailing Address - Country:US
Mailing Address - Phone:407-413-6789
Mailing Address - Fax:
Practice Address - Street 1:910 S 8TH ST STE 120
Practice Address - Street 2:
Practice Address - City:FERNANDINA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32034-6700
Practice Address - Country:US
Practice Address - Phone:407-413-6789
Practice Address - Fax:321-445-9760
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-05
Last Update Date:2019-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician