Provider Demographics
NPI:1326160250
Name:LOTFY, LILIAN LABIB (DDS)
Entity Type:Individual
Prefix:DR
First Name:LILIAN
Middle Name:LABIB
Last Name:LOTFY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4777 FISHER ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90022-1301
Mailing Address - Country:US
Mailing Address - Phone:323-268-3395
Mailing Address - Fax:323-268-3396
Practice Address - Street 1:4777 FISHER ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90022-1301
Practice Address - Country:US
Practice Address - Phone:323-268-3395
Practice Address - Fax:323-268-3396
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA459121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice