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1023078201
EDWARD LOTT
LOS ANGELES, CA
NPI
1023078201
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA 10695)
Enumeration Date
2006-03-23
Last Update Date
2007-07-08
Business Address
-- EDWARD LOTT PA
11301 WILSHIRE BLVD 111F
LOS ANGELES, CA 90073-1003
Phone number: 310-268-3864
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Mailing Address
-- EDWARD LOTT PA
PO BOX 4820
PANORAMA CITY, CA 91412-4820
Phone number: 310-268-3864
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