Organization
DOUGLAS A. LOTT DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE HERNANDEZ (OFFICE MANAGER)
(916) 448-5458
Entity
Organization
Contact information
Practice address
1315 ALHAMBRA BLVD STE 220, SACRAMENTO, CA 95816-5246
(916) 448-5458
Mailing address
1315 ALHAMBRA BLVD STE 220, SACRAMENTO, CA 95816-5246
(916) 448-5458
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
37256
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154428662
NPI ENUMERATOR
CA
Enumeration date
03/28/2017
Last updated
03/28/2017
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