Individual
COMOCHE LAMOTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
RURAL ROUTE 3, BOX 89, LARNED, KS 67550-9365
(620) 804-2066
Mailing address
40 HELM DR, COVINGTON, GA 30014-8347
(620) 804-2066
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ACN565
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08-00295
INSTITUTIONAL LICENSE NUM
KS
01
—
106005
BCBS
—
Enumeration date
12/12/2006
Last updated
11/17/2020
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