Individual
FEYISETAN LOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
801 W 8TH ST, COFFEYVILLE, KS 67337-4109
(620) 251-7500
(620) 252-1715
Mailing address
3407 W 3RD ST, COFFEYVILLE, KS 67337-2138
(405) 474-4906
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
P7664
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200687530A
—
KS
Enumeration date
10/12/2007
Last updated
03/07/2023
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