Provider Demographics
NPI:1891039285
Name:LOTT, FRANCESCA PATRICE (PST)
Entity Type:Individual
Prefix:
First Name:FRANCESCA
Middle Name:PATRICE
Last Name:LOTT
Suffix:
Gender:F
Credentials:PST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1658 S FORUM DR APT 1102
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-1123
Mailing Address - Country:US
Mailing Address - Phone:318-834-2005
Mailing Address - Fax:
Practice Address - Street 1:1658 S FORUM DR APT 1102
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-1123
Practice Address - Country:US
Practice Address - Phone:318-834-2005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-26
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA019980183500000X
TX66012183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist