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NPI Code Detail

MEDICARE: LOTTIE RUTH MESSICK

MEDICARE:   LOTTIE RUTH MESSICK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171400000XHealth & Wellness Coach6B781C6FEBCA

General Provider Information

NPI Number : 1891654398
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOTTIE RUTH MESSICK
Provider Business Mailing Address
First Line : 3050 BEACON BLVD STE 103
Second Line :
City : WEST SACRAMENTO
State : CA
Zip : 95691-3467
Country : US
Telephone Number : 916-462-3100
Fax Number :
Provider Business Practice Location Address
First Line : 3050 BEACON BLVD STE 103
Second Line :
City : WEST SACRAMENTO
State : CA
Zip : 95691-3467
Country : US
Telephone Number : 916-462-3100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2026
Last Update Date : 01/20/2026

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Directions to “ LOTTIE RUTH MESSICK ” Practice Location

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