| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ZACHARY D LOTT | 1609374941 | 2018-01-31 |
Zachary D Lott is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1609374941. Registration indicates Zachary D Lott is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Acute Care, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Acute Care, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Zachary D Lott MSN, ARNP, NP-BC |
| Practice Office Address | 26732 CROWN VALLEY PKWY STE 371 MISSION VIEJO, CA US |
| Practice Office Telephone | 8008801895 |
| Practice Office Fax | 9498445844 |
| Mailing Address | 26732 CROWN VALLEY PKWY STE 371 MISSION VIEJO, CA 926916306 US |
| Business Telephone | 8008801895 |
| Business Fax | 9498445844 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 23653 El Toro Rd Ste B | Lake Forest, CA 926308614 | 8008801895 / 9498445844 |
| 2121 E Coast Hwy Ste 210 | Corona Del Mar, CA 926251934 | 8008801895 / 9498445844 |
| Code | Practice | License No State |
|---|---|---|
| 363LA2100X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Acute Care All Other Specialties & Provider Types Nurse Practitioner Acute Care Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 95008486
CA |