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Individual

RIZWANNA LOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
1321 COLBY AVE, EVERETT, WA 98201-1665
(425) 404-5200
Mailing address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1374

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004918
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
206792
WORK COMP
WA
05
8445397
WA
01
8940769
CRIME VICTIMS
WA
Enumeration date
08/14/2006
Last updated
01/22/2019
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