Basic Information
| Provider Information | |||||||||
| NPI: | 1326586991 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LAMOTHE | ||||||||
| FirstName: | MEAGHAN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | FNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 394 BAR HARBOR RD | ||||||||
| Address2: | |||||||||
| City: | TRENTON | ||||||||
| State: | ME | ||||||||
| PostalCode: | 046055807 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2072885082 | ||||||||
| FaxNumber: | 2072887024 | ||||||||
| Practice Location | |||||||||
| Address1: | 394 BAR HARBOR RD | ||||||||
| Address2: | |||||||||
| City: | TRENTON | ||||||||
| State: | ME | ||||||||
| PostalCode: | 046055807 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2076675899 | ||||||||
| FaxNumber: | 2076670184 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/03/2017 | ||||||||
| LastUpdateDate: | 02/03/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | CNP161184 | ME | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.