Individual
YVONIA LOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR LOSS PRAC
Contact information
Practice address
54 CHERRY ST, GRENADA, MS 38901-2502
(662) 699-0256
Mailing address
54 CHERRY ST, GRENADA, MS 38901-2502
(662) 699-0256
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
525349
MS
Other
Enumeration date
02/07/2021
Last updated
02/07/2021
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