Provider Demographics
NPI:1336788744
Name:LAMOTTE, JULIE (RNFA, CNOR)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:LAMOTTE
Suffix:
Gender:F
Credentials:RNFA, CNOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2909 N STATE ROAD 66
Mailing Address - Street 2:
Mailing Address - City:MILLTOWN
Mailing Address - State:IN
Mailing Address - Zip Code:47145-7400
Mailing Address - Country:US
Mailing Address - Phone:812-670-6505
Mailing Address - Fax:
Practice Address - Street 1:2909 N STATE ROAD 66
Practice Address - Street 2:
Practice Address - City:MILLTOWN
Practice Address - State:IN
Practice Address - Zip Code:47145-7400
Practice Address - Country:US
Practice Address - Phone:812-670-6505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-02
Last Update Date:2020-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1120414163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant