Lott, Jimmy Walter

Lott, Jimmy Walter is an individual health care provider with primary practice located at 970 Lakeland Dr Suite 61, Jackson MS 39216-4635. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Lott, Jimmy Walter can be contacted via phone (601) 982-7850.

Contact Information

Primary practice address
970 Lakeland Dr Suite 61 Jackson MS 39216-4635
Phone: (601) 982-7850
Fax: (601) 718-5145
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 11383 Mississippi
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 11383 Mississippi

Profile Details

NPI number 1548206717
LBN Legal business name Lott, Jimmy Walter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Nov 27th, 2023 - about last year

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 1548206717 NPPES
Mississippi MEDICAID 00115249

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