Lott, Ira T

Lott, Ira T is an individual health care provider with primary practice located at 101 The City Dr S , Orange CA 92868-3201. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities is his primary health care specialty. Lott, Ira T can be contacted via phone (714) 456-8068.

Contact Information

Primary practice address
101 The City Dr S Orange CA 92868-3201
Phone: (714) 456-8068
Fax: (714) 456-3765
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2080P0008X C40813 California
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X C40813 California

Profile Details

NPI number 1720030760
LBN Legal business name Lott, Ira T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Mar 12th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720030760 NPPES
California Other 00C408130 MEDI-CAL PROVIDER #

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