Individual
JIMMY WALTER LOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
970 LAKELAND DR, SUITE 61, JACKSON, MS 39216-4635
(601) 982-7850
(601) 718-5145
Mailing address
970 LAKELAND DR, SUITE 61, JACKSON, MS 39216-4635
(601) 982-7850
(601) 718-5145
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
11383
MS
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
11383
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115249
—
MS
Enumeration date
06/22/2006
Last updated
01/22/2025
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