Organization
JAY LOTT OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNY H LOTT JR. OD (OWNER)
(954) 937-6101
Entity
Organization
Contact information
Practice address
7950 HIGHWAY 72 W, SUITE E, MADISON, AL 35758-6416
(256) 830-1050
(256) 325-8864
Mailing address
27370 KIM DR, HARVEST, AL 35749-7470
(954) 937-6101
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-C01-TA-834
AL
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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