Individual
MISS SARA ALLYSSA LOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2173 HALCYON BLVD, MONTGOMERY, AL 36117-6908
(334) 224-4239
Mailing address
2173 HALCYON BLVD, MONTGOMERY, AL 36117-6908
(334) 224-4239
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S10776
AL
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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