Individual
VANESSA L LOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
275 SHERATON BLVD, MACON, GA 31210-1359
(478) 745-5779
Mailing address
275 SHERATON BLVD, MACON, GA 31210-1359
(478) 745-5779
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F06180915
GA
Other
Enumeration date
01/31/2019
Last updated
11/15/2023
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