Healthcare Provider Details

I. General information

NPI: 1245176106
Provider Name (Legal Business Name): COURTNEY LAMONTAGNE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1033 DOMINION OAK CIR
CARY NC
27519-6955
US

IV. Provider business mailing address

1033 DOMINION OAK CIR
CARY NC
27519-6955
US

V. Phone/Fax

Practice location:
  • Phone: 978-996-3746
  • Fax:
Mailing address:
  • Phone: 978-996-3746
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SG0600X
TaxonomyGerontology Clinical Nurse Specialist
License Number608
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: