Individual
MRS. AMY MALINDA LOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1616 WILLIAMS DR, LEAKESVILLE, MS 39451-5622
(601) 394-2381
(601) 394-2593
Mailing address
719 WOODRUN DR, PEARL, MS 39208-7913
(601) 946-4805
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
902191
MS
Other
Enumeration date
07/25/2017
Last updated
09/17/2020
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