Provider Demographics
NPI:1225319346
Name:LOTLIKAR, ALPA (MD)
Entity Type:Individual
Prefix:DR
First Name:ALPA
Middle Name:
Last Name:LOTLIKAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 PLANDOME RD
Mailing Address - Street 2:
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-1962
Mailing Address - Country:US
Mailing Address - Phone:516-627-6555
Mailing Address - Fax:516-627-6651
Practice Address - Street 1:450 PLANDOME RD
Practice Address - Street 2:
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-1962
Practice Address - Country:US
Practice Address - Phone:516-627-6555
Practice Address - Fax:516-627-6551
Is Sole Proprietor?:No
Enumeration Date:2011-09-01
Last Update Date:2019-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY60 262574208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics