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Individual

DR. DANIEL J. LAMOTHE-JOST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
401 N KEENE ST, COLUMBIA, MO 65201-6625
(573) 876-1622
(573) 876-1629
Mailing address
401 KEENE ST, COLUMBIA, MO 65201-6625
(573) 876-1622
(573) 876-1629

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
110877
MO
207RR0500X
Rheumatology Physician
Primary
110877
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
208304907
MO
Enumeration date
08/11/2005
Last updated
01/07/2015
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