Individual
DANIEL R LAMOTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 NIGHTINGALE ROAD, EDWARDS AFB, CA 93524-0001
(661) 277-2397
Mailing address
30 NIGHTINGALE ROAD, EDWARDS AFB, CA 93524-0001
(661) 277-2397
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01058224A
IN
Other
Enumeration date
04/10/2006
Last updated
05/20/2021
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