Individual
MARGARITA LAMOTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6029 WALNUT GROVE RD STE C002, MEMPHIS, TN 38120-2112
(901) 685-3490
Mailing address
6799 GREAT OAKS RD STE 250, MEMPHIS, TN 38138-2584
(901) 685-3490
(901) 685-3499
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD018339
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00113067
—
MS
01
—
0822233
BCBS OF TN
TN
05
—
3060256
—
TN
01
—
95001
BCBS OF AR
AR
Enumeration date
06/10/2006
Last updated
01/07/2019
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