Individual
DR. JEREMY RYAN LOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-0111
Mailing address
1903 BARBER AVE, KANSAS CITY, KS 66103-2214
(316) 210-8287
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101287715
VA
2085R0202X
Diagnostic Radiology Physician
2026-00916
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2020
Last updated
04/08/2026
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