Provider Demographics
NPI:1578540837
Name:LOTT, MARGARET (FNP)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:LOTT
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 E PRINCETON AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93704-5439
Mailing Address - Country:US
Mailing Address - Phone:559-224-1915
Mailing Address - Fax:559-224-1915
Practice Address - Street 1:510 E PRINCETON AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93704-5439
Practice Address - Country:US
Practice Address - Phone:559-224-1915
Practice Address - Fax:559-224-1915
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA307633363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
ZZZ18604ZMedicare ID - Type Unspecified