Jade Denice Lott

NPI #1275133191 in Hazlehurst, Georgia

Provider Information

NPI Number
1275133191
Entity Type
Individual
Name
Jade Denice Lott
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Oct 29, 2020
Last Updated
Oct 29, 2020

Practice Location

Address
136 E JARMAN ST
State
Georgia
ZIP Code
31539-6130
Phone
(912) 375-3646

Specialties & Taxonomy Codes

Specialty
Pharmacist

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