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NPI Code Detail

MEDICARE: AMBER LOTT

MEDICARE: AMBER LOTT
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
1225700000XMassage Therapist33.025542OH

General Provider Information

NPI Number : 1134960875
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER LOTT
Provider Business Mailing Address
First Line : 1610 W 11TH ST
Second Line :
City : ASHTABULA
State : OH
Zip : 44004-2906
Country : US
Telephone Number : 440-536-5475
Fax Number :
Provider Business Practice Location Address
First Line : 1610 W 11TH ST
Second Line :
City : ASHTABULA
State : OH
Zip : 44004-2906
Country : US
Telephone Number : 440-536-5475
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2024
Last Update Date : 06/05/2024

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Directions to “ AMBER LOTT ” Practice Location

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