Individual
EDWARD LOTT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
11301 WILSHIRE BLVD, 111F, LOS ANGELES, CA 90073-1003
(310) 268-3864
(310) 268-4928
Mailing address
PO BOX 4820, PANORAMA CITY, CA 91412-4820
(310) 268-3864
(310) 268-4928
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 10695
CA
Other
Enumeration date
03/23/2006
Last updated
07/08/2007
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