MEDICARE: LAMOTTE PEDIATRICS, LLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1982797601
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAMOTTE PEDIATRICS, LLP

Provider Business Mailing Address
First Line	:	10001 S EASTERN AVE
Second Line	:	310
City	:	HENDERSON
State	:	NV
Zip	:	89052
Country	:	US
Telephone Number	:	702-566-2400
Fax Number	:	702-433-2477

Provider Business Practice Location Address
First Line	:	871 CORONADO CENTER DR STE 141
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-3977
Country	:	US
Telephone Number	:	702-566-2400
Fax Number	:	702-433-2477

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	KIM LAMOTTE-MALONE
Credential	:	MD
Telephone Number	:	702-566-2400

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	01/06/2025

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