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DANIEL ROBERT LAMOTHE M.D.

>> General Practice >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1023071107

Individual Registrant:
 DANIEL ROBERT LAMOTHE M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
22 MDG 57950 LEAVENWORTH ST MCCONNELL AFB, KS 67221-3506 US
Tel: 613-759-3221  Fax: --

Contact information for business:
1021 N BEAU JARDIN CIR  DERBY, KS 67037-7328 US
Tel: 571-243-3575  Fax: --

Registration Information:
NPI: 1023071107
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208D00000XAllopathic & Osteopathic Physicians
General Practice
IN01058224A

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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