Lott, William C

Lott, William C is an individual health care provider with primary practice located at 969 Lakeland Dr St Thomas Hall, Jackson MS 39216-4606. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Lott, William C can be contacted via phone (601) 200-3110.

Contact Information

Primary practice address
969 Lakeland Dr St Thomas Hall Jackson MS 39216-4606
Phone: (601) 200-3110
Fax: (601) 200-3109
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 31466 Mississippi

Profile Details

NPI number 1891887808
LBN Legal business name Lott, William C
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Apr 30th, 2008 - about 17 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 1891887808 NPPES
Mississippi MEDICAID 01505748

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