Provider Demographics
NPI:1346376159
Name:LAMONDE, LAURIE ANNE (PHD)
Entity Type:Individual
Prefix:DR
First Name:LAURIE
Middle Name:ANNE
Last Name:LAMONDE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MISS
Other - First Name:LAURIE
Other - Middle Name:ANNE
Other - Last Name:EHRBAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1050 SILVER DR.
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684
Mailing Address - Country:US
Mailing Address - Phone:231-947-2255
Mailing Address - Fax:231-947-5982
Practice Address - Street 1:DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER
Practice Address - Street 2:10,000 BAY PINES BLVD.
Practice Address - City:BAY PINES
Practice Address - State:FL
Practice Address - Zip Code:33744
Practice Address - Country:US
Practice Address - Phone:727-398-6661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2012-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301014789103TC0700X
FLPY6732103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical