Healthcare Provider Details

I. General information

NPI: 1477499598
Provider Name (Legal Business Name): AMY LAMORE MS, CGC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 PLAIN ST FL 2
PROVIDENCE RI
02903-4816
US

IV. Provider business mailing address

111 PLAIN ST FL 2
PROVIDENCE RI
02903-4816
US

V. Phone/Fax

Practice location:
  • Phone: 401-606-7463
  • Fax:
Mailing address:
  • Phone: 401-606-4763
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License NumberGC00231
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: