Individual
KRYSTAL ANN LOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
26520 CACTUS AVE, MORENO VALLEY, CA 92555-3927
(951) 486-4000
Mailing address
35510 DESERT ROSE WAY, LAKE ELSINORE, CA 92532-2914
(951) 616-8276
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95012099
CA
Other
Enumeration date
01/10/2018
Last updated
06/30/2020
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