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Individual

DR. JAMES R LOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-6030
(601) 984-6039
Mailing address
108 N RIDGE DR, MADISON, MS 39110-7700
(601) 853-6677

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3313-04
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06773878
MS
Enumeration date
11/29/2006
Last updated
04/13/2009
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