Individual
JIMMY LOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
11111 SOUTH 84TH STREET, PAPILLION, NE 68046
(402) 593-3830
Mailing address
413 ELK RIDGE DRIVE, PAPILLION, NE 68046-4324
(402) 339-3720
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
45041
NE
Other
Enumeration date
06/26/2006
Last updated
07/08/2007
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