Individual
DR. ROGER T LOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2313 HIGHWAY 15 N, LAUREL, MS 39440-1805
(601) 649-2775
(601) 649-2686
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 649-2775
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15957
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120367
—
MS
05
—
1554197
—
LA
Enumeration date
07/12/2006
Last updated
08/10/2020
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