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Jacqueline Sophia Lott, LMP

Specialist in Yakima, WA. Individual provider (NPI-1).

NPI number1144351925
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1144351925
Entity type
Individual (NPI-1)
Name
Jacqueline Sophia Lott
Credential
LMP
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 7, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X SpecialistMA00017942WAYes

Practice location

1008 S 40th Ave
Yakima, WA 98908-3804

Phone 509-972-4000 · Fax 509-972-4001

Mailing address

1008 S 40th Ave
Yakima, WA 98908-3804

Phone 509-972-4000 · Fax 509-972-4001

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