# DOUGLAS A. LOTT DDS INC

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

## Provider details

- **NPI number:** 1124550439
- **Authorized official:** JEANETTE HERNANDEZ (OFFICE MANAGER)
- **Authorized official phone:** (916) 448-5458

## Contact information

- **Practice address:** 1315 ALHAMBRA BLVD STE 220, SACRAMENTO, CA 95816-5246
- **Practice address phone:** (916) 448-5458
- **Mailing address:** 1315 ALHAMBRA BLVD STE 220, SACRAMENTO, CA 95816-5246
- **Mailing address phone:** (916) 448-5458

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 37256 | CA | Yes |

## Other

- **Enumeration date:** 03/28/2017
- **Last updated:** 03/28/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1154428662 | NPI ENUMERATOR | CA |