Healthcare Provider Details

I. General information

NPI: 1326146051
Provider Name (Legal Business Name): AMY DUSZA LOTT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 19TH ST S VA MEDICAL CENTER, 7TH FLOOR
BIRMINGHAM AL
35233-1927
US

IV. Provider business mailing address

700 19TH ST S VA MEDICAL CENTER, 7TH FLOOR
BIRMINGHAM AL
35233-1927
US

V. Phone/Fax

Practice location:
  • Phone: 205-933-8101
  • Fax: 205-939-4576
Mailing address:
  • Phone: 205-933-8101
  • Fax: 205-939-4576

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number19475
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: