Organization
ALPHA AND OMEGA HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA DANETTE LOTT NP (CEO)
(601) 675-7142
Entity
Organization
Contact information
Practice address
1847 SIMPSON HIGHWAY 149, MENDENHALL, MS 39114-3439
(601) 675-7142
(601) 675-7143
Mailing address
PO BOX 612, MENDENHALL, MS 39114-0612
(601) 675-7142
(601) 675-7143
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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