Individual
WARREN LOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PAA
Contact information
Practice address
1984 PEACHTREE RD. NW, STE. 515, ATLANTA, GA 30309
(414) 351-1745
(404) 351-7121
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(855) 851-4405
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
008532
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/16/2017
Last updated
02/05/2018
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