MEDICARE: LAMONTE GADDIS

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1831065671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAMONTE GADDIS

Provider Business Mailing Address
First Line	:	5151 MONROE ST
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43623-3462
Country	:	US
Telephone Number	:	419-865-5690
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 MADISON AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43604-1222
Country	:	US
Telephone Number	:	440-703-4786
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2025
Last Update Date	:	01/23/2026

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Directions to “ LAMONTE GADDIS ” Practice Location

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