Healthcare Provider Details

I. General information

NPI: 1831000751
Provider Name (Legal Business Name): MICHELLE LOTT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 4337
FRISCO CO
80443-4337
US

IV. Provider business mailing address

360 PEAK ONE DR STE 100
FRISCO CO
80443-5948
US

V. Phone/Fax

Practice location:
  • Phone: 970-668-4040
  • Fax: 970-668-9242
Mailing address:
  • Phone: 970-452-8572
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.1711031
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: