VICKY M LOTT M.D. NPI 1184707952

NPI Information

NPI: 1184707952
Provider Name: VICKY M LOTT, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
623 SOUTH MAIN STREET
MOSCOW, ID
ZIP 83843
Phone: (208) 882-2011
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Vicky M Lott, M.D. is a family medicine in Moscow, ID. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Vicky M Lott, M.D. NPI is 1184707952. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

623 SOUTH MAIN STREET
MOSCOW, ID
ZIP 83843
Phone: (208) 882-2011
Fax: (208) 883-1853

The enumeration date for this NPI number is 10/23/2006 and was last updated on 11/17/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		MD00040077	WASHINGTON	No
2	207Q00000X	Family Medicine		M8278	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1104639	OTHER	IDAHO	DMERC
2	0159575	OTHER	WASHINGTON	WA LABOR & INDUSTRIES
3	806323500	OTHER	IDAHO	HEATHY CONNECTIONS
4	8298937	MEDICAID	WASHINGTON
5	000010138246	OTHER	IDAHO	REGENCE BLUESHIELD
6	990015805	MEDICARE ID-TYPE UNSPECIFIED	IDAHO	ID RR MEDICARE
7	1104639	MEDICARE ID-TYPE UNSPECIFIED	IDAHO	ID MEDICARE
8	806323500	MEDICAID	IDAHO
9	H59812	MEDICARE UPIN	IDAHO
10	AB28709	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON	WA MEDICARE
11	48264	OTHER	IDAHO	BLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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