Provider Demographics
NPI:1043428071
Name:LOTT CHIROPRACTIC CLINIC PC
Entity Type:Organization
Organization Name:LOTT CHIROPRACTIC CLINIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:LOTT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-489-0777
Mailing Address - Street 1:7111 A ST STE 100
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-4283
Mailing Address - Country:US
Mailing Address - Phone:402-489-0777
Mailing Address - Fax:402-489-0874
Practice Address - Street 1:7111 A ST STE 100
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-4283
Practice Address - Country:US
Practice Address - Phone:402-489-0777
Practice Address - Fax:402-489-0874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1002111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE350040889OtherMEDICARE RAILROAD
NE36623OtherBLUE CROSS BLUE SHIELD
NE127271OtherCOVENTRY
NE1619993441OtherINDIVIDUAL NPI
NE4400054OtherUNITED HEALTHCARE
NE127271OtherCOVENTRY
NEU18460Medicare UPIN
NE268191Medicare ID - Type Unspecified
NE900017Medicare PIN