Provider Demographics
NPI:1477597284
Name:LAMONT, JEFFREY (DC)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:
Last Name:LAMONT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:JEFFREY
Other - Middle Name:
Other - Last Name:LAMONT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:3529 DURHAM PL
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-1115
Mailing Address - Country:US
Mailing Address - Phone:215-757-5735
Mailing Address - Fax:215-757-6435
Practice Address - Street 1:3529 DURHAM PL
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-1115
Practice Address - Country:US
Practice Address - Phone:215-757-5735
Practice Address - Fax:215-757-6435
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-003482-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2352319OtherAETNA
PAA82596OtherAMERIHEALTH
PA0090417000OtherBLUE CROSS/SHIELD
PAA82596OtherAMERIHEALTH
PAT29981Medicare UPIN