Provider Demographics
NPI:1386214146
Name:LAMARE, MATTHEW NORMAN (DVM)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:NORMAN
Last Name:LAMARE
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1209 CROMWELL BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-2206
Mailing Address - Country:US
Mailing Address - Phone:410-252-8387
Mailing Address - Fax:
Practice Address - Street 1:1209 CROMWELL BRIDGE RD
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-2206
Practice Address - Country:US
Practice Address - Phone:410-252-9397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-24
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1378OtherDVM