Tamara Marie Lott LCPC, CRC

NPI 1013037373 - Counselor - 101Y00000X

NPI Details
NPI 1013037373
Gender Female
Enumeration Date 03/30/2007
Last Updated 01/13/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
515 NE GLEN OAK AVE STE 101
OSF SAINT FRANCIS MEDICAL CENTER
PEORIA IL, 61603-3167, US
Phone (309) 655-7795
Fax (309) 655-4609
Business Location
5503 N PEPPERWOOD CT
PEORIA IL, 61615-3273, US
Phone (309) 256-0114
Fax (309) 655-4609
Toxanomy
Taxonomy Code 101Y00000X
License State Illinois
License Number 180-003547
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According to our database, Mrs. Tamara Marie Lott LCPC, CRC NPI is 1013037373, taxonomy code is 101Y00000X and license number is 180-003547, license state is located at Illinois. Tamara Marie Lott LCPC, CRC physically located at 515 Ne Glen Oak Ave Ste 101, Peoria IL, 61603-3167. NPI Number Tamara Marie Lott LCPC, CRC has the Individual type.

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1013037373 NPI number is provided on an as is basis without warranty of any kind. 1013037373 is maintained by the National Plan & Provider Enumeration System. The contents of Tamara Marie Lott LCPC, CRC are for informational purposes only.