Provider Demographics
NPI:1376822288
Name:LAMOUR BY DESIGN INC
Entity Type:Organization
Organization Name:LAMOUR BY DESIGN INC
Other - Org Name:LBD CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO & PRESIDENT OF LBD CLINIC
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 1:44 DIAUTO DR
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-4536
Mailing Address - Country:US
Mailing Address - Phone:781-885-7252
Mailing Address - Fax:
Practice Address - Street 1:44 DIAUTO DR
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:MA
Practice Address - Zip Code:02368-4536
Practice Address - Country:US
Practice Address - Phone:781-885-7252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-09
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness