Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 292717 | NY |
NPI | 1003296807 |
---|---|
Provider Name | Dr. Cynthia Lamour |
First Address | Millsboro, DE 19966-6228 |
Second Address | Millsboro, DE 19966-6228 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2015 |
Last Update Date | 06/08/2021 |