Individual
SUSAN ARLENE LOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
945 SHASTA ST, YUBA CITY, CA 95991-4114
(530) 671-8564
(530) 671-8592
Mailing address
945 SHASTA ST, YUBA CITY, CA 95991-4114
(530) 645-5338
(530) 645-5358
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G61609
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G616090
—
CA
01
—
300033475
MEDICARE ID
—
01
—
300035251
MEDICARE ID
—
Enumeration date
01/04/2006
Last updated
04/13/2017
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