Provider Demographics
NPI:1629026117
Name:LOTT, LANA K (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:LANA
Middle Name:K
Last Name:LOTT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:540 HEMLOCK ST
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-3202
Mailing Address - Country:US
Mailing Address - Phone:478-743-8953
Mailing Address - Fax:478-743-1963
Practice Address - Street 1:6084 LAKEVIEW RD
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-9174
Practice Address - Country:US
Practice Address - Phone:478-743-8953
Practice Address - Fax:478-743-1963
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA003938363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical