Individual
MS. LUNETTE L LOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1100 W 6TH AVE, GARY, IN 46402-1711
(219) 885-4264
(219) 882-0962
Mailing address
425 TOMPKINS ST, GARY, IN 46406-1426
(219) 885-4264
(219) 882-0962
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27049952A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27049952A
INDIANA PROFESSIONAL LICENSING AGENCY
IN
Enumeration date
01/23/2012
Last updated
09/26/2013
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