Individual
LAZERIC LOTT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11012 S WESTERN AVE, CHICAGO, IL 60643-3928
(773) 298-0990
Mailing address
1440 W TAYLOR ST # 1858, CHICAGO, IL 60607-4623
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.023606
IL
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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