Individual
DR. GARY A LAMOTTE
Active
Individual
DR. GARY A LAMOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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