Individual
SAMANTHA LOTTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1119 PLEASANT ST, OAK PARK, IL 60302
(773) 789-7143
Mailing address
1119 PLEASANT ST, OAK PARK, IL 60302-3009
(773) 789-7143
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198001246
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225416613
NPI
IL
01
—
1558894063
NPI TYPE 2#
—
01
—
453780862
TAX ID
IL
Enumeration date
06/21/2017
Last updated
04/19/2019
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