Healthcare Provider Details

I. General information

NPI: 1972424208
Provider Name (Legal Business Name): CONSTANCE LYNN LAMONS DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 CLUBHOUSE LN
BOYNTON BEACH FL
33436-6002
US

IV. Provider business mailing address

17225 70TH ST N
LOXAHATCHEE FL
33470-3385
US

V. Phone/Fax

Practice location:
  • Phone: 561-632-2160
  • Fax:
Mailing address:
  • Phone: 954-593-4167
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberPT18973
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: