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Jacqueline Sophia Lott, LMP
Specialist in Yakima, Washington
NPI 1144351925

Jacqueline Sophia Lott is a Specialist based in Yakima, WA. Jacqueline Sophia Lott practices in Yakima, WA and has the professional credentials of LMP. The NPI Number for Jacqueline Sophia Lott is 1144351925 and holds a License No. MA00017942 (Washington).

The current practice location address for Jacqueline Sophia Lott is 1008 S 40Th Ave, Yakima, WA and can be reached out via phone at 509-972-4000 and via fax at 509-972-4001.

Location: 1008 S 40Th Ave, Yakima, WA, 98908-3804
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144351925
Provider Name
Jacqueline Sophia Lott
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
1008 S 40Th Ave, Yakima, WA, 98908-3804
Phone Number
509-972-4000
Fax Number
509-972-4001
Provider Enumeration Date
03/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA00017942 01 WA MASSAGE THERPIST LICENSE
institution
Provider Business Practice Location Address Details
Address
1008 S 40Th Ave
City
Yakima
State
Washington
Zip
98908-3804
Phone Number
509-972-4000
Fax Number
509-972-4001
person
Provider Business Mailing Address Details
Address
1008 S 40Th Ave
City
Yakima
State
Washington
Zip
98908-3804
Phone Number
509-972-4000
Fax Number
509-972-4001
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA00017942 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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