Basic Information
| Provider Information | |||||||||
| NPI: | 1972938801 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LOTT | ||||||||
| FirstName: | CLAUDINE | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 25 W 45TH ST FL 11 | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100364902 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8662713589 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 25 W 45TH ST FL 11 | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100364902 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8662713589 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/11/2013 | ||||||||
| LastUpdateDate: | 08/02/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/02/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD048448 | DC | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 54282 | KY | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | ME146157 | FL | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 87820 | GA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 01084793A | IN | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | A127015 | CA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | MD.41698 | AL | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 286129 | MA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | D90188 | MD | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 4301502784 | MI | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 28271 | MS | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 2021-00127 | NC | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 35.140473 | OH | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 85089 | SC | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 0101270317 | VA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.