Healthcare Provider Details

I. General information

NPI: 1245978980
Provider Name (Legal Business Name): LAMOY TOBAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAMOY SALMON

II. Dates (important events)

Enumeration Date: 05/23/2022
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64 BOYDEN RD
HOLDEN MA
01520-2570
US

IV. Provider business mailing address

64 BOYDEN RD
HOLDEN MA
01520-2570
US

V. Phone/Fax

Practice location:
  • Phone: 508-829-6765
  • Fax: 508-829-1884
Mailing address:
  • Phone: 508-829-6765
  • Fax: 508-829-1884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2312000
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: