Healthcare Provider Details

I. General information

NPI: 1285281667
Provider Name (Legal Business Name): BRIAN LAMOREUX LPCC, ND
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2019
Last Update Date: 01/07/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3282 GOVERNOR DR
SAN DIEGO CA
92122-2902
US

IV. Provider business mailing address

5977 ERLANGER ST
SAN DIEGO CA
92122-3803
US

V. Phone/Fax

Practice location:
  • Phone: 858-326-0535
  • Fax:
Mailing address:
  • Phone: 785-764-0899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCC14494
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND1160
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: