Doctor Name: | MRS. ALEXANDRA M LAMOTHE |
NPI Number: | 1114235637 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | F336182-1 |
Business Practice Address: | 801 Gazzola Dr E Patchogue, NY - 117724900 |
Business Phone Number: | 6314478800 |
Business Fax Number: | |
Mailing Address: | 1574 August Rd, NORTH BABYLON |
State: | NY |
Postal Code: | 117031933 |
Phone Number: | 6318047836 |
Fax Number: | |
NPI Enumeration Date: | 09/17/2010 |
NPI Last Update Date: | 09/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F336182-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |