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Individual

DAVID M LOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3468
(607) 547-6551
Mailing address
PO BOX 725, COOPERSTOWN, NY 13326-0725
(607) 547-3468
(607) 547-6551

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002088
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02143680
NY
Enumeration date
05/26/2006
Last updated
06/26/2008
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