Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT00001648 | WA |
NPI | 1003064965 |
---|---|
Provider Name | Dr. Christa Lamothe |
First Address | Edmonds, WA 98020-3197 |
Second Address | Edmonds, WA 98020-3197 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/09/2008 |
Last Update Date | 04/09/2008 |