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Contact Information

MARY E LOTT, MD
2606 PARK ST
JACKSONVILLE, FL32204-4520
 Phone: 904-388-4646
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Hospice and Palliative Medicine

2080H0002X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MARY E LOTT · (Female)

NPI Number 1629294665
Status Active
Credentials MD
Entity Individual
Enumeration date 04/18/2007
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME131370
  • GA License # 001265
  • GA License # 62137
  • GA Medicaid 369518390E
  • FL Other PENDING MEDICARE
  • GA Other 52319773 BCBS
  • GA Other GRP2665 EMPLOYER ID
  • GA Other 001265 RESIDENCY LICENSE
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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