Provider Demographics
NPI:1265301600
Name:LOTT, JANELLE KATELYN
Entity type:Individual
Prefix:
First Name:JANELLE
Middle Name:KATELYN
Last Name:LOTT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5456 MADISON WAY APT 5
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20784-1056
Mailing Address - Country:US
Mailing Address - Phone:771-201-3459
Mailing Address - Fax:
Practice Address - Street 1:5456 MADISON WAY APT 5
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20784-1056
Practice Address - Country:US
Practice Address - Phone:771-201-3459
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-03
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator