Provider Demographics
NPI:1407206162
Name:LOTFI, RAMZY (DMD)
Entity type:Individual
Prefix:
First Name:RAMZY
Middle Name:
Last Name:LOTFI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 N US HIGHWAY 27
Mailing Address - Street 2:
Mailing Address - City:LADY LAKE
Mailing Address - State:FL
Mailing Address - Zip Code:32159-3776
Mailing Address - Country:US
Mailing Address - Phone:352-350-7630
Mailing Address - Fax:
Practice Address - Street 1:560 N US HIGHWAY 27
Practice Address - Street 2:
Practice Address - City:LADY LAKE
Practice Address - State:FL
Practice Address - Zip Code:32159-3776
Practice Address - Country:US
Practice Address - Phone:352-350-7630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-14
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN21895122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist