Lisa Lott, FNP

Individual provider Active NPI Family Nurse Practitioner · Fairfield, TX

NPI 1407945488 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1407945488
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
637213 (TX)
Practice address
375A W Hwy 84
Fairfield, TX 75840
Phone
(903) 389-7433
Fax
(903) 389-7631
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 637213 TX Yes

Addresses

Primary practice location

375A W Hwy 84
Fairfield, TX 75840

Mailing address

PO Box 1058
Fairfield, TX 75840-0020
Phone (903) 389-7433

Other providers in Fairfield, TX

All providers in Fairfield, TX · Family Nurse Practitioner in Texas

Sources for this page

Verify at the official NPI Registry.