Samantha Yvette Lott, PA-C
Physician Assistant in Cleveland, OH. Individual provider (NPI-1).
NPI number1730867656
StatusActive
Last updated in NPPESOct 24, 2024
Details
- NPI
- 1730867656
- Entity type
- Individual (NPI-1)
- Name
- Samantha Yvette Lott
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 10, 2023
- Certification date
- Oct 24, 2024
- Last updated
- Oct 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 50.009118RX | OH | Yes |
Other names
- Samantha Yvette Miller (Former Name)
Practice location
9501 Euclid AveCleveland, OH 44106-4711
Phone 216-368-0575
Mailing address
2500 Metrohealth DrCleveland, OH 44109-1900
Phone 216-778-7800
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