Provider Demographics
NPI:1427547322
Name:LOTT, SHARON ANN (AUD)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:ANN
Last Name:LOTT
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SHORT PUMP MIDDLE SCHOOL
Mailing Address - Street 2:4701 POUNCEY TRACT ROAD
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059
Mailing Address - Country:US
Mailing Address - Phone:804-364-1144
Mailing Address - Fax:804-360-0808
Practice Address - Street 1:SHORT PUMP MIDDLE SCHOOL
Practice Address - Street 2:4701 POUNCEY TRACT ROAD
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23059
Practice Address - Country:US
Practice Address - Phone:804-364-1144
Practice Address - Fax:804-364-0808
Is Sole Proprietor?:No
Enumeration Date:2018-05-07
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2201000192231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist