Provider Demographics
NPI:1457736860
Name:LOTT, MONICA (MS)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:LOTT
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:
Other - Last Name:QUEZADA LOTT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS
Mailing Address - Street 1:5132 SCHUYLKILL ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-2551
Mailing Address - Country:US
Mailing Address - Phone:614-989-9461
Mailing Address - Fax:
Practice Address - Street 1:5132 SCHUYLKILL ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220-2551
Practice Address - Country:US
Practice Address - Phone:614-750-2135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-27
Last Update Date:2017-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist