Provider Demographics
NPI:1235569229
Name:LAMORE, MARK LAWRENCE (LAC LMT)
Entity Type:Individual
Prefix:MR
First Name:MARK
Middle Name:LAWRENCE
Last Name:LAMORE
Suffix:
Gender:M
Credentials:LAC LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 WENTWORTH AVE
Mailing Address - Street 2:
Mailing Address - City:TURNERS FALLS
Mailing Address - State:MA
Mailing Address - Zip Code:01376-1522
Mailing Address - Country:US
Mailing Address - Phone:808-264-2919
Mailing Address - Fax:
Practice Address - Street 1:9 WENTWORTH AVE
Practice Address - Street 2:
Practice Address - City:TURNERS FALLS
Practice Address - State:MA
Practice Address - Zip Code:01376-1522
Practice Address - Country:US
Practice Address - Phone:808-264-2919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-12
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI393171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist