Provider Demographics
NPI:1639115728
Name:LOTT, EMILY JO (MD)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:JO
Last Name:LOTT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9151 NE 81ST TER STE 105
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64158-1176
Mailing Address - Country:US
Mailing Address - Phone:816-994-8787
Mailing Address - Fax:816-994-8788
Practice Address - Street 1:9151 NE 81ST TER STE 105
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64158-1176
Practice Address - Country:US
Practice Address - Phone:816-994-8787
Practice Address - Fax:816-994-8788
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2009006311207QS0010X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine