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Individual

KIRK E LOTT

Active
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Individual

KIRK E LOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3947
CA
367500000X
Certified Registered Nurse Anesthetist
R50620
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10008783
LOVELACE HP
NM
01
201045802
PRESBYTERIAN HP
NM
05
63136881
NM
05
67157068
CO
05
847402
AZ
01
NM006947
BCBS
NM
01
P00124198
RR MEDICARE
NM
05
T0043
UT
Enumeration date
02/08/2006
Last updated
05/14/2014
Update your record

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