Provider Demographics
NPI:1396929295
Name:LAMOTHE, MARIA ELINA (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:ELINA
Last Name:LAMOTHE
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Gender:F
Credentials:MD
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Mailing Address - Street 1:3101 EMRICK BLVD
Mailing Address - Street 2:SUITE 112
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-8037
Mailing Address - Country:US
Mailing Address - Phone:610-419-6482
Mailing Address - Fax:610-419-6483
Practice Address - Street 1:3101 EMRICK BLVD
Practice Address - Street 2:SUITE 112
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-8037
Practice Address - Country:US
Practice Address - Phone:610-419-6482
Practice Address - Fax:610-419-6483
Is Sole Proprietor?:No
Enumeration Date:2007-12-27
Last Update Date:2016-09-20
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Provider Licenses
StateLicense IDTaxonomies
NY247029207R00000X
NJ25MA08892300207RE0101X
PAMD456616207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA469533V8GMedicare PIN