Healthcare Provider Details

I. General information

NPI: 1982492575
Provider Name (Legal Business Name): SABRINA LAMOUR PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2025
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HAWLEY LN
STRATFORD CT
06614-1200
US

IV. Provider business mailing address

1 HAWLEY LN
STRATFORD CT
06614-1200
US

V. Phone/Fax

Practice location:
  • Phone: 203-383-7735
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number7333
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9120194
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: