Provider Demographics
NPI:1417182528
Name:LAMONS, SUMMER (RD, LD)
Entity Type:Individual
Prefix:
First Name:SUMMER
Middle Name:
Last Name:LAMONS
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10000 N CENTRAL EXPWY
Mailing Address - Street 2:STE 400
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231
Mailing Address - Country:US
Mailing Address - Phone:405-210-4045
Mailing Address - Fax:972-968-8587
Practice Address - Street 1:10000 N CENTRAL EXPWY
Practice Address - Street 2:STE 400
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231
Practice Address - Country:US
Practice Address - Phone:405-210-4045
Practice Address - Fax:972-968-8587
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-18
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT06589133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered