Lott, Katherine G

Lott, Katherine G is an sole proprietor health care provider with primary practice located at 6295 Old Canton Rd Apt 23B, Jackson MS 39211-2908. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Lott, Katherine G can be contacted via phone (601) 463-0676.

Contact Information

Primary practice address
6295 Old Canton Rd Apt 23B Jackson MS 39211-2908
Phone: (601) 463-0676
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X R876755 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X R876755 Mississippi

Profile Details

NPI number 1821423484
LBN Legal business name Lott, Katherine G
Credentials AGACNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2013
Last updated Jan 27th, 2014 - about 10 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 1821423484 NPPES
Mississippi MEDICAID 01928036

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