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:
Health care specialties
Specialty | Code | License # | 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 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720030760 | NPPES |
California | Other | 00C408130 | MEDI-CAL PROVIDER # |
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