Provider Demographics
NPI:1598897126
Name:LOTT, DENISE RENEE (LAC)
Entity Type:Individual
Prefix:PROF
First Name:DENISE
Middle Name:RENEE
Last Name:LOTT
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
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Mailing Address - Street 1:5855 E NAPLES PLZ
Mailing Address - Street 2:SUITE 307
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-5060
Mailing Address - Country:US
Mailing Address - Phone:562-439-1007
Mailing Address - Fax:562-439-1516
Practice Address - Street 1:5855 E NAPLES PLZ
Practice Address - Street 2:SUITE 307
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90803-5060
Practice Address - Country:US
Practice Address - Phone:562-439-1007
Practice Address - Fax:562-439-1516
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAAC7252171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist