Chantelle Lott

NPI #1154733749 in Tulsa, Oklahoma

Provider Information

NPI Number
1154733749
Entity Type
Individual
Name
Chantelle Lott
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Contractor
Enumeration Date
May 29, 2014
Last Updated
May 29, 2014

Practice Location

Address
9048 E 29TH CT
City
Tulsa
ZIP Code
74129-6812
Phone
(918) 402-4708

Specialties & Taxonomy Codes

Specialty
Contractor

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