MEDICARE: SHAMIKA LAMAR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency
2	104100000X	Social Worker

General Provider Information

NPI Number	:	1083190391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAMIKA LAMAR

Provider Business Mailing Address
First Line	:	1038 JIB DR APT 101
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32825-3159
Country	:	US
Telephone Number	:	407-463-0409
Fax Number	:

Provider Business Practice Location Address
First Line	:	1038 JIB DR APT 101
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32825-3159
Country	:	US
Telephone Number	:	407-463-0409
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2018
Last Update Date	:	07/19/2018

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Directions to “ SHAMIKA LAMAR ” Practice Location

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