Lott, Mark
Lott, Mark is an individual health care provider with primary practice located at 501 E Hardy St Suite 430, Inglewood CA 90301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Lott, Mark can be contacted via phone (310) 671-7010.Contact Information
Primary practice address
501 E Hardy St Suite 430
Inglewood CA 90301
Phone: (310) 671-7010
Fax: (310) 680-6855
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | G85987 | California |
Profile Details
| NPI number | 1821192139 |
|---|---|
| LBN Legal business name | Lott, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2006 |
| Last updated | Dec 29th, 2014 - about 11 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 | 1821192139 | NPPES |
| California | MEDICAID | GR0027410 |
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