Individual
DR. MICHELLE LA MOTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
209798
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LIC 209798
MEDICAL LICENSE
NY
Enumeration date
06/19/2007
Last updated
11/24/2010
Update your record
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