# MARTA L CHEATHAM LOTT M D INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124293170
- **Authorized official:** DR. MARTA LALITH CHEATHAM-LOTT M.D. (OBSTETRICIAN/GYNECOLOGIST)
- **Authorized official phone:** (909) 792-1111

## Contact information

- **Practice address:** 355 TERRACINA BLVD, SUITE A, REDLANDS, CA 92373-4819
- **Practice address phone:** (909) 792-1111
- **Practice address fax:** (909) 792-7772
- **Mailing address:** PO BOX 446, BANNING, CA 92220-0016
- **Mailing address phone:** (909) 792-1111
- **Mailing address fax:** (909) 792-7772

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/29/2008
- **Last updated:** 02/23/2011