Ethan Lotshaw, MD
Student in an Organized Health Care Education/Training Program in Torrance, CA. Individual provider (NPI-1).
NPI number1164059762
StatusActive
Last updated in NPPESMar 24, 2020
Details
- NPI
- 1164059762
- Entity type
- Individual (NPI-1)
- Name
- Ethan Lotshaw
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 24, 2020
- Certification date
- Mar 24, 2020
- Last updated
- Mar 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1000 W Carson StTorrance, CA 90502-2004
Phone 424-306-2000
Mailing address
26939 Indian Peak RdRancho Palos Verdes, CA 90275-2336
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