Provider Demographics
NPI:1972938801
Name:LOTT, CLAUDINE (MD)
Entity type:Individual
Prefix:DR
First Name:CLAUDINE
Middle Name:
Last Name:LOTT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 W 45TH ST FL 11
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-4902
Mailing Address - Country:US
Mailing Address - Phone:866-271-3589
Mailing Address - Fax:
Practice Address - Street 1:25 W 45TH ST FL 11
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-4902
Practice Address - Country:US
Practice Address - Phone:866-271-3589
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-11
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD048448207Q00000X
KY54282207Q00000X
FLME146157207Q00000X
GA87820207Q00000X
IN01084793A207Q00000X
CAA127015207Q00000X
ALMD.41698207Q00000X
MA286129207Q00000X
MDD90188207Q00000X
MI4301502784207Q00000X
MS28271207Q00000X
NC2021-00127207Q00000X
OH35.140473207Q00000X
SC85089207Q00000X
VA0101270317207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine