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NPI Code Detail

MEDICARE: VIRGINIA S LOTITO MS, CCC-SLP

MEDICARE: VIRGINIA S LOTITO MS, CCC-SLP
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
1235Z00000XSpeech-Language Pathologist24889TX

General Provider Information

NPI Number : 1831670017
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIRGINIA S LOTITO MS, CCC-SLP
Provider Business Mailing Address
First Line : 1643 COUNTY ROAD 3108
Second Line :
City : JACKSONVILLE
State : TX
Zip : 75766-8079
Country : US
Telephone Number : 903-810-0222
Fax Number :
Provider Business Practice Location Address
First Line : 810 BELLAIRE ST
Second Line :
City : JACKSONVILLE
State : TX
Zip : 75766-9045
Country : US
Telephone Number : 903-589-5300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2018
Last Update Date : 08/24/2018

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Directions to “ VIRGINIA S LOTITO MS, CCC-SLP” Practice Location

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