Doctor Name: | LANA GAYLENE LAMOTTE |
NPI Number: | 1073854758 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN494072 |
Business Practice Address: | 1499 Huntington Dr Suite101 South Pasadena, CA - 910304552 |
Business Phone Number: | 6264034370 |
Business Fax Number: | 6264034260 |
Mailing Address: | 1499 Huntington Dr, Suite101 SOUTH PASADENA |
State: | CA |
Postal Code: | 910304552 |
Phone Number: | 6264034370 |
Fax Number: | 6264034260 |
NPI Enumeration Date: | 03/06/2013 |
NPI Last Update Date: | 03/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | RN494072 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |