Lott, Marian Vanita
Lott, Marian Vanita is an individual health care provider with primary practice located at 5195 Jimmy Carter Blvd , Norcross GA 30093-1649. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Lott, Marian Vanita can be contacted via phone (470) 514-5818.Contact Information
Primary practice address
5195 Jimmy Carter Blvd
Norcross GA 30093-1649
Phone: (470) 514-5818
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | APN001112 | Nevada |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | APN001112 | Nevada |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | RN282818 | Georgia |
Profile Details
| NPI number | 1336349133 |
|---|---|
| LBN Legal business name | Lott, Marian Vanita |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2007 |
| Last updated | Jun 2nd, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336349133 | NPPES |
| California | MEDICAID | NMW012750 | |
| California | Other | 11982826 |
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