Individual
DR. LEWIS JM MOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18128 WOOD DUCK ST, WOODLAND, CA 95695-6033
(530) 666-7473
(530) 666-7473
Mailing address
18128 WOOD DUCK ST, WOODLAND, CA 95695-6033
(530) 666-7473
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G25617
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G256170
BLUE SHIELD
CA
05
—
00G256170
—
CA
01
—
P00003480
RR MEDICARE
CA
Enumeration date
07/17/2006
Last updated
01/16/2009
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