Provider Demographics
NPI:1487820858
Name:LOTT, PATRICIA MARY (LAC)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:MARY
Last Name:LOTT
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 ALLEGHENY AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-3900
Mailing Address - Country:US
Mailing Address - Phone:443-275-2050
Mailing Address - Fax:
Practice Address - Street 1:31 ALLEGHENY AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-3900
Practice Address - Country:US
Practice Address - Phone:443-275-2050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-05
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU00760171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist