Individual
LACRECIA LOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
487 WEST 52ND PLACE, MERRILLVILLE, IN 46410
(219) 614-1071
Mailing address
487 W 52ND PL, MERRILLVILLE, IN 46410-1462
(219) 614-1071
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
013817
IN
Other
Enumeration date
09/11/2017
Last updated
07/21/2022
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