Lamotte, Gary A
Lamotte, Gary A is an individual health care provider with primary practice located at 1397 Weimer Rd , Taos NM 87571-6253. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Lamotte, Gary A can be contacted via phone (575) 758-8883.Contact Information
Primary practice address
1397 Weimer Rd
Taos NM 87571-6253
Phone: (575) 758-8883
Fax: (303) 468-1394
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 22047 | Nebraska |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | G5279 | Texas |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 28061 | Colorado |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 84-209 | New Mexico |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 84-209 | New Mexico |
Profile Details
| NPI number | 1447247994 |
|---|---|
| LBN Legal business name | Lamotte, Gary A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Jan 15th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447247994 | NPPES |
| Nebraska | MEDICAID | 10025709000 | |
| Nebraska | Other | P00720336 | |
| Nebraska | Other | 0255069 | |
| Nebraska | Other | 0259639 | |
| Nebraska | MEDICAID | 1447247994 | |
| Nebraska | MEDICAID | 1447247994/7726790 | |
| Nebraska | MEDICAID | 000W6165 |
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