Mrs. Mary E Lott
M.D. | Pediatrics | Female
Mrs. Mary E Lott, M.D. is a Jacksonville, Florida based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mrs. Mary E Lott is
2606 Park St, Jacksonville, Florida - 32204-4520. She can be contacted on phone at
904-388-4646.
Mrs. Mary E Lott is a sole proprietor of her business.
NPI number (Unique professional ID) for Mrs. Mary E Lott is
1629294665 which was assigned by NPPES on 18 Apr, 2007 and it was last updated on 21 Jul, 2022.
Mrs. Mary E Lott license number is
ME131370 for Pediatrics (208000000X) in Florida.
Mrs. Mary E Lott is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mrs. Mary E Lott basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mrs. Mary E Lott |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Mrs. Mary E Lott address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2606 Park St
Jacksonville, FL, 32204-4520
United States |
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| Phone Number : | 904-388-4646 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1629294665 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 18 Apr, 2007 |
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| Last Updated On : | 21 Jul, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Mary E Lott are as mentioned. Primary taxonomy code for Mrs. Mary E Lott, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | ME131370 | FL |
| 2080H0002X | Pediatrics Hospice and Palliative Medicine | No | 001265 | GA |
| 208000000X | Pediatrics | No | 62137 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Mrs. Mary E Lott such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 369518390E | MEDICAID | GA | |
| 001265 | Other | GA | RESIDENCY LICENSE |
| 52319773 | Other | GA | BCBS |
| PENDING | Other | FL | MEDICARE |
| GRP2665 | Other | GA | EMPLOYER ID |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
711 CHARLES GILMAN JR AVE STE B,
KINGSLAND, GA, 31548-5664
United States | KINGSLAND, GA | 912-510-9728 |
218 QUARTERMAN ST,
WAYCROSS, GA, 31501
United States | WAYCROSS, GA | 912-287-0301 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3300 S Fiske Blvd
Rockledge, FL, 32955-4306
United States |
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| Phone Number : | 904-388-4646 |
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Business Location:
Patients can refer following map for directions to
Mrs. Mary E Lott practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.