Individual
KIRK E LOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1800 SPRING RIDGE DR, SUSANVILLE, CA 96130-6100
(530) 252-2000
(530) 252-2241
Mailing address
1800 SPRING RIDGE DR, SUSANVILLE, CA 96130-6100
(530) 252-2000
(530) 252-2241
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
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