Provider Demographics
NPI:1326187378
Name:COTTMAN, LORI M (DC)
Entity Type:Individual
Prefix:DR
First Name:LORI
Middle Name:M
Last Name:COTTMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7411 RIGGS RD
Mailing Address - Street 2:SUITE 328
Mailing Address - City:ADELPHI
Mailing Address - State:MD
Mailing Address - Zip Code:20783-4246
Mailing Address - Country:US
Mailing Address - Phone:301-328-0762
Mailing Address - Fax:301-328-0767
Practice Address - Street 1:7411 RIGGS RD
Practice Address - Street 2:SUITE 328
Practice Address - City:ADELPHI
Practice Address - State:MD
Practice Address - Zip Code:20783-4246
Practice Address - Country:US
Practice Address - Phone:301-328-0762
Practice Address - Fax:301-328-0767
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03440111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD88274901OtherCAREFIRST RENDERING #
MDW132-0005OtherMEMBER #
MDM530OtherCAREFIRST
MD88274901OtherCAREFIRST RENDERING #
MDM530OtherCAREFIRST