Provider Demographics
NPI:1093276438
Name:LOTI, AUBREY LOTI
Entity Type:Individual
Prefix:MR
First Name:AUBREY
Middle Name:LOTI
Last Name:LOTI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9748 E 530 RD
Mailing Address - Street 2:
Mailing Address - City:CLAREMORE
Mailing Address - State:OK
Mailing Address - Zip Code:74019-0370
Mailing Address - Country:US
Mailing Address - Phone:918-800-9538
Mailing Address - Fax:
Practice Address - Street 1:9748 E 530 RD
Practice Address - Street 2:
Practice Address - City:CLAREMORE
Practice Address - State:OK
Practice Address - Zip Code:74019-0370
Practice Address - Country:US
Practice Address - Phone:918-800-9538
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-28
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist