Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD60713958 | WA |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD60713958 | WA |
NPI | 1164695813 |
---|---|
Provider Name | Richard Joseph Lamour |
First Address | Olympia, WA 98507-0368 |
Second Address | Olympia, WA 98506-5117 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2008 |
Last Update Date | 08/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2078905 | (05) | WA |