Most Relevant Information
Provider Data
| NPI Number: | 1619970647 |
| Provider Name: | JAYME FOSTER LOTT PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 6183824-1206 |
Most Important Dates
| Enumeration Date: | 05/23/2005 |
| Last Updated: | 11/13/2018 |
Provider Practice Location
736 S 900 E
STE 203
ST GEORGE
UT
847907000
Practice Location Phone/Fax
| Phone: | 4356736131 |
| Fax: | 4356738557 |
Provider Mailing Location
1055 N 500 W
ATTN: CREDENTIALING
PROVO
UT
846043305
Provider Mailing Phone/Fax
| Phone: | 8013548225 |
| Fax: | 8014180941 |