Individual
MICHAEL S LOTT SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
280 MERCHANTS SQ, DALLAS, GA 30132-5029
(678) 813-2741
(770) 575-3912
Mailing address
280 MERCHANTS SQ, DALLAS, GA 30132-5029
(678) 813-2741
(770) 575-3912
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
060927
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202I052818
MDCR#
GA
Enumeration date
01/02/2008
Last updated
11/30/2015
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