Provider Demographics
NPI:1568486181
Name:LOTITO, PATRICIA H (MD)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:H
Last Name:LOTITO
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 1:195 W LANCASTER AVE
Mailing Address - Street 2:
Mailing Address - City:PAOLI
Mailing Address - State:PA
Mailing Address - Zip Code:19301-1748
Mailing Address - Country:US
Mailing Address - Phone:484-320-7178
Mailing Address - Fax:438-799-6355
Practice Address - Street 1:195 WEST LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301-1748
Practice Address - Country:US
Practice Address - Phone:484-320-7178
Practice Address - Fax:438-799-6355
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD043853E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAE55579Medicare UPIN
PALO608441Medicare ID - Type Unspecified