Individual
MS. GRETA L LOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NAC
Contact information
Practice address
11411 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499
(253) 581-9002
(253) 589-5920
Mailing address
11411 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499
(253) 581-9002
(253) 589-5920
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
N/A
WA
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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