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Jayme Foster Lott

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NPI Number Detailed Information

Provider Information:

Name: Jayme Foster Lott
Gender: M
Provider License Number If Given: 6183824-1206

NPI Information:

NPI: 1619970647
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 11/13/2018

Provider Business Mailing Address:

Address: 1055 N 500 W ATTN: CREDENTIALING
Provo, UT 84604
Phone Number: 8013548225
Fax Number: 8014180941

Provider Business Practice Location Address:

Address: 736 S 900 E STE 203
St George, UT 84790
Phone Number: 4356736131
Fax Number: 4356738557

Provider Taxonomy:

Primary: 363A00000X
Secondary (if any): 363A00000X
State: UT

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