Doctor Name: | DR. JEREMY MICHAEL LAMOTHE |
NPI Number: | 1598037764 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD, PHD |
License Number: | ALBERTA: 019533 |
Business Practice Address: | Department Of Orthopaedics, 3330 Hospital Drive Nw Calgary, ALBERTA - T2N4N1 |
Business Phone Number: | 4034649374 |
Business Fax Number: | |
Mailing Address: | 2306 Erlton Pl Sw, CALGARY |
State: | ALBERTA |
Postal Code: | T2S2Z4 |
Phone Number: | 4034649374 |
Fax Number: | 4032459374 |
NPI Enumeration Date: | 02/03/2012 |
NPI Last Update Date: | 04/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | ALBERTA: 019533 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ZZ |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |