Individual provider · Type 1 NPI
Corey Jamal Lott
Dialysis Equipment & Supplies (DME) · Pontamouth, VA
NPI number
1487110847
Active
Practice location
1604 Cavalier Blvd
Pontamouth, VA 23701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Foods Supplier | 335G00000X | None listed |
| Religious Nonmedical Nursing Personnel | 374T00000X | None listed |
| Transportation Broker | 347E00000X | None listed |
| Adult Companion | 372600000X | None listed |
| Personal Care Attendant | 3747P1801X | None listed |
| Religious Nonmedical Practitioner | 374K00000X | None listed |
| Peer Specialist | 175T00000X | None listed |
| Nursing Facility Supplies (DME) | 332BN1400X | None listed |
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | None listed |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | None listed |
| Dialysis Equipment & Supplies (DME) Primary | 332BD1200X | None listed |
Dialysis Equipment & Supplies (DME): Definition to come...
About NPI 1487110847
Corey Jamal Lott's National Provider Identifier is 1487110847, issued on Feb 11, 2019. The primary taxonomy on file is Dialysis Equipment & Supplies (DME) (332BD1200X), and the practice location is in Pontamouth, VA. The record was last updated on Feb 11, 2019.