Individual
LOTT MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5455 ALMIRA DR NE, BREMERTON, WA 98311-8330
(360) 373-5031
Mailing address
5455 ALMIRA DR NE, BREMERTON, WA 98311-8330
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60505551
WA
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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