Healthcare Provider Details

I. General information

NPI: 1982797601
Provider Name (Legal Business Name): LAMOTTE PEDIATRICS, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 01/06/2025
Certification Date: 01/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

871 CORONADO CENTER DR STE 141
HENDERSON NV
89052-3977
US

IV. Provider business mailing address

10001 S EASTERN AVE 310
HENDERSON NV
89052
US

V. Phone/Fax

Practice location:
  • Phone: 702-566-2400
  • Fax: 702-433-2477
Mailing address:
  • Phone: 702-566-2400
  • Fax: 702-433-2477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: KIM LAMOTTE-MALONE
Title or Position: MANAGING PARTNER
Credential: MD
Phone: 702-566-2400