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General NPI Number Information
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NPI Number | 1447247994
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Entity Type | Individual
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Provider Name | GARY A LAMOTTE MD
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Gender | Male
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Dates
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Enumeration Date | 09/30/2005
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Last Update Date | 01/15/2020
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Provider Practice Location Address
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Address Line | 1397 WEIMER RD
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City | TAOS
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State | NM
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Zip | 87571-6253
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Country | US
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Telephone | 575-758-8883
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Fax | 303-468-1394
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Provider Business Mailing Address
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Address Line | 12687 W CEDAR DR 200
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City | LAKEWOOD
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State | CO
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Zip | 80228-2014
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Country | US
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Telephone | 303-468-1395
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Fax | 303-468-1394
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 22047
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | G5279
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 28061
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 84-209
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License Number State | NM
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 84-209
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License Number State | NM
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