Individual
ANDREA L OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
812 N 22ND STREET, BLAIR CLINIC, BLAIR, NE 68008
(402) 426-4611
Mailing address
810 N 22ND STREET, MCH & HEALTH SYSTEM, BLAIR, NE 68008
(402) 426-2182
(402) 426-1297
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1416
NE
363AM0700X
Medical Physician Assistant
1416
NE
Other
Enumeration date
01/20/2009
Last updated
06/25/2010
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