Individual
JACQUELINE CHARLENE LAMOTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
525 EAST 68TH STREET, BOX 91, NY, NY 10021-4870
(212) 746-2301
(212) 746-8137
Mailing address
525 E 68TH ST, BOX 91, NEW YORK, NY 10065-4870
(212) 746-3278
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381678-1
NY
Other
Enumeration date
03/06/2007
Last updated
04/24/2012
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