Provider Demographics
NPI:1699319699
Name:LOTT, PRZEMEK THOMAS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:PRZEMEK
Middle Name:THOMAS
Last Name:LOTT
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7600 E ARAPAHOE RD STE 109
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1452
Mailing Address - Country:US
Mailing Address - Phone:303-210-0902
Mailing Address - Fax:
Practice Address - Street 1:7600 E ARAPAHOE RD STE 109
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1452
Practice Address - Country:US
Practice Address - Phone:303-210-0902
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-01
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPHA.0022873183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty