Provider Demographics
NPI:1588015424
Name:LOTTES, ANN LINDLEY (MD)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:LINDLEY
Last Name:LOTTES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1820 ZUMBEHL RD STE 130A
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63303-2761
Mailing Address - Country:US
Mailing Address - Phone:636-947-2334
Mailing Address - Fax:636-940-5739
Practice Address - Street 1:1820 ZUMBEHL RD STE 130A
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63303-2761
Practice Address - Country:US
Practice Address - Phone:636-947-2334
Practice Address - Fax:636-940-5739
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-22
Last Update Date:2019-06-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2016020368207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine