Healthcare Provider Details

I. General information

NPI: 1649207093
Provider Name (Legal Business Name): MICHELE LAMOURT DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3687 WEBBER ST
SARASOTA FL
34232-4412
US

IV. Provider business mailing address

321 WHITFIELD AVE
SARASOTA FL
34243-1529
US

V. Phone/Fax

Practice location:
  • Phone: 941-922-9312
  • Fax: 941-927-8731
Mailing address:
  • Phone: 941-544-3553
  • Fax: 941-927-8731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0900X
TaxonomyInternist Chiropractor
License NumberCH7627
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: