Lott, Jacqueline Sophia

Lott, Jacqueline Sophia is an sole proprietor health care provider with primary practice located at 1008 S 40Th Ave , Yakima WA 98908-3804. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Lott, Jacqueline Sophia can be contacted via phone (509) 972-4000.

Contact Information

Primary practice address
1008 S 40Th Ave Yakima WA 98908-3804
Fax: (509) 972-4001
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA00017942 Washington

Profile Details

NPI number 1144351925
LBN Legal business name Lott, Jacqueline Sophia
Credentials LMP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144351925 NPPES
Washington Other MA00017942 MASSAGE THERPIST LICENSE

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