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Contact Information

VICKY M LOTT, MD
623 SOUTH MAIN STREET
MOSCOW, ID83843
 Phone: 208-882-2011
 Fax: 208-883-1853
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for VICKY M LOTT · (Female)

NPI # 1184707952
Status Active
Credentials MD
Entity Individual
Enumeration date 10/23/2006
Last updated 07/14/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • ID License # M8278
  • WA License # MD00040077
  • ID Medicaid 806323500
  • WA Medicaid 1004375
  • WA Medicaid 8298937
  • ID Other 48264 BLUE CROSS
  • ID Other 1104639 DMERC
  • ID Other 806323500 HEATHY CONNECTIONS
  • ID Other 000010138246 REGENCE BLUESHIELD
  • WA Other 0159575 WA LABOR & INDUSTRIES
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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