Dr. Wallace Ray Lott JR.
Periodontist
3610 Lomita Blvd Ste 101
Torrance
, California 90505-3919
Dr. Wallace Ray Lott JR.
Periodontist
3610 Lomita Blvd Ste 101
Torrance
, California 90505-3919
(310) 373-6153
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Wallace Ray Lott JR.
- 3610 Lomita Blvd Ste 101
- Torrance, CA
- Zip : 90505-3919
- Fax : (310) 373-6153
- Phone : (310) 373-6353
Second Address
- Dr. Wallace Ray Lott JR.
- 3610 Lomita Blvd Ste 101
- Torrance, CA
- Zip : 90505-3919
- Fax : (310) 373-6153
- Phone : (310) 373-6353
Reviews
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Is Dr. Wallace Ray Lott JR. a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 26466 | CA |
National Provider Identifier
| NPI | 1023143997 |
|---|---|
| Provider Name | Dr. Wallace Ray Lott JR. |
| First Address | Torrance, CA 90505-3919 |
| Second Address | Torrance, CA 90505-3919 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/02/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.