Individual
CORY JAMES LOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6701 PARKWAY CIR STE 300, BROOKLYN CENTER, MN 55430-2849
(763) 231-9094
Mailing address
1905 FERONIA AVE APT 3, SAINT PAUL, MN 55104-3495
(386) 689-9993
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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