Lott, Tamara Marie
Lott, Tamara Marie is an individual health care provider with primary practice located at 515 Ne Glen Oak Ave Ste 101 Osf Saint Francis Medical Center, Peoria IL 61603-3167. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Lott, Tamara Marie can be contacted via phone (309) 655-7795.Contact Information
Primary practice address
515 Ne Glen Oak Ave Ste 101 Osf Saint Francis Medical Center
Peoria IL 61603-3167
Phone: (309) 655-7795
Fax: (309) 655-4609
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 180-003547 | Illinois |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180003547 | Illinois |
Profile Details
| NPI number | 1013037373 |
|---|---|
| LBN Legal business name | Lott, Tamara Marie |
| Credentials | LCPC, CRC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2007 |
| Last updated | Jan 24th, 2024 - about 2 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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