Individual
INDIA LOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5865 RIDGEWAY CENTER PKWY STE 386, MEMPHIS, TN 38120-4032
(901) 219-1884
Mailing address
4235 CHESAPEAKE WAY, MEMPHIS, TN 38125-2606
(901) 219-1884
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
78617
TN
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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