Individual provider · Type 1 NPI

Tera L. Lotz, C.N.P

Pediatric Nurse Practitioner · Wyoming, MI

NPI number 1043459167 Active

Practice location

5900 Byron Center Ave SW
Wyoming, MI 49519-9686

Mailing address

5900 Byron Center Ave SW # MC845
Wyoming, MI 49519-9686

Other practice locations

  • 35 Michigan St NE, Suite 4150, Grand Rapids, MI 49503-2514 · (616) 267-2700
  • 5900 Byron Center Ave SW, Wyoming, MI 49519 · (616) 252-7200

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X4704236439 (MI)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1043459167

Tera L. Lotz, C.N.P's National Provider Identifier is 1043459167, issued on Feb 12, 2009. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Wyoming, MI. The record was last updated on Feb 5, 2019.