Individual
MRS. TIFFANY LOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5096 US 49, PINEY WOODS, MS 39148
(601) 845-2214
Mailing address
1738 JUPITER RD, MENDENHALL, MS 39114-4364
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
913372
MS
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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