Provider Demographics
NPI:1164708459
Name:LAMOUR BY DESIGN
Entity Type:Organization
Organization Name:LAMOUR BY DESIGN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMOUR
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LICSW, CAGS
Authorized Official - Phone:781-885-7252
Mailing Address - Street 1:213 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-2407
Mailing Address - Country:US
Mailing Address - Phone:781-526-1581
Mailing Address - Fax:781-395-0280
Practice Address - Street 1:213 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:MA
Practice Address - Zip Code:02368-2407
Practice Address - Country:US
Practice Address - Phone:781-526-1581
Practice Address - Fax:781-395-0280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-31
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X
MA251B00000X
MAS91546272251B00000X
MA313176251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management