Lott, Roger T
Lott, Roger T is an sole proprietor health care provider with primary practice located at 2313 Highway 15 N , Laurel MS 39440-1805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lott, Roger T can be contacted via phone (601) 649-2775.Contact Information
Primary practice address
2313 Highway 15 N
Laurel MS 39440-1805
Phone: (601) 649-2775
Fax: (601) 649-2686
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 15957 | Mississippi |
Profile Details
| NPI number | 1861417065 |
|---|---|
| LBN Legal business name | Lott, Roger T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Aug 10th, 2020 - about 4 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 | 1861417065 | NPPES |
| Louisiana | MEDICAID | 1554197 | |
| Louisiana | MEDICAID | 00120367 |
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