IndividualActive
Jeremy Lott
NPI 1104763580 · Student in an Organized Health Care Education/Training Program · Normal, AL
Provider details
- NPI number
- 1104763580
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Practice location
4900 Meridian St N
104 Buchanan Hal
Normal, AL 35762
Phone: (708) 743-0802
Approximate (ZIP-level) locationGet directions
Mailing address
4900 Meridian St N
Normal, AL 35762
Registry dates
- Enumerated
- 2026-05-02
- Last updated
- 2026-05-02
- Certified
- 2026-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.