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NPI Code Detail

MEDICARE: DR. JACQUELINE LAMOUR MD

MEDICARE: DR. JACQUELINE LAMOUR MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080P0202XPediatric Cardiology Physician195468NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346229085
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JACQUELINE LAMOUR MD
Provider Business Mailing Address
First Line : 1468 MADISON AVE FL 3
Second Line :
City : NEW YORK
State : NY
Zip : 10029-6508
Country : US
Telephone Number : 212-241-8662
Fax Number : 646-537-9214
Provider Business Practice Location Address
First Line : 1468 MADISON AVE FL 3
Second Line :
City : NEW YORK
State : NY
Zip : 10029-6508
Country : US
Telephone Number : 212-241-8662
Fax Number : 646-537-9214
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2006
Last Update Date : 12/21/2021

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Directions to “ DR. JACQUELINE LAMOUR MD” Practice Location

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