Lott, Juanita Yvonne
Lott, Juanita Yvonne is an individual health care provider with primary practice located at 418 Eh Court , Brunswick GA 31520. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lott, Juanita Yvonne can be contacted via phone (912) 265-5035.Contact Information
Primary practice address
418 Eh Court
Brunswick GA 31520
Phone: (912) 265-5035
Fax: (912) 265-1431
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 019847 | Georgia |
Profile Details
| NPI number | 1891804787 |
|---|---|
| LBN Legal business name | Lott, Juanita Yvonne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Mar 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891804787 | NPPES |
| Georgia | MEDICAID | 00181596A | |
| Georgia | Other | 85001571G | |
| Georgia | Other | 019847 |
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