Individual
DR. GARY A LAMOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1397 WEIMER RD, TAOS, NM 87571-6253
(575) 758-8883
(303) 468-1394
Mailing address
12687 W CEDAR DR, 200, LAKEWOOD, CO 80228-2014
(303) 468-1395
(303) 468-1394
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
22047
NE
2085R0202X
Diagnostic Radiology Physician
28061
CO
2085R0202X
Diagnostic Radiology Physician
Primary
84-209
NM
2085R0202X
Diagnostic Radiology Physician
G5279
TX
2085R0204X
Vascular & Interventional Radiology Physician
84-209
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000W6165
—
NM
01
—
0255069
DOL WASHINGTON
WA
01
—
0259639
DOL WA RIN
WA
05
—
10025709000
—
NE
05
—
1447247994
—
WY
05
—
1447247994/7726790
—
SD
01
—
P00720336
RR MCR NE
NE
Enumeration date
09/30/2005
Last updated
01/15/2020
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