MEDICARE: JEFFREY PAUL LAMONT M D P A

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
1	2086X0206X	Surgical Oncology Physician	K4319	TX

General Provider Information

NPI Number	:	1689743973
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEFFREY PAUL LAMONT M D P A

Provider Business Mailing Address
First Line	:	3535 WORTH ST
Second Line	:	STE. 610
City	:	DALLAS
State	:	TX
Zip	:	75246-2006
Country	:	US
Telephone Number	:	214-826-9873
Fax Number	:	214-828-2089

Provider Business Practice Location Address
First Line	:	3535 WORTH ST
Second Line	:	STE. 610
City	:	DALLAS
State	:	TX
Zip	:	75246-2006
Country	:	US
Telephone Number	:	214-826-9873
Fax Number	:	214-828-2089

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	JEFFREY PAUL LAMONT
Credential	:	M.D.
Telephone Number	:	214-826-9873

Provider Enumeration Date	:	11/08/2006
Last Update Date	:	02/20/2008

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