| Doctor Name: | DANIEL ROBERT LAMOTHE |
| NPI Number: | 1023071107 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 01058224A |
| Business Practice Address: | 2510 5th St Building 840 Wright Patterson Afb, OH - 454337951 |
| Business Phone Number: | 9379382637 |
| Business Fax Number: | |
| Mailing Address: | 1454 Runnymeade Way, XENIA |
| State: | OH |
| Postal Code: | 453857066 |
| Phone Number: | 5712433575 |
| Fax Number: | |
| NPI Enumeration Date: | 04/10/2006 |
| NPI Last Update Date: | 12/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 01058224A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |