Individual
JEREMY LOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
27351 DEQUINDRE RD, MADISON HEIGHTS, MI 48071
(248) 967-7795
(248) 967-7794
Mailing address
27351 DEQUINDRE RD, MADISON HEIGHTS, MI 48071-3487
(248) 967-7795
(248) 967-7794
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036145520
IL
207P00000X
Emergency Medicine Physician
2928-321
WI
207P00000X
Emergency Medicine Physician
5101019558
MI
Other
Enumeration date
07/12/2011
Last updated
02/29/2024
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