Provider Demographics
NPI:1477839256
Name:LAMAS, WILLIAM LORENZO (BA)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:LORENZO
Last Name:LAMAS
Suffix:
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10862 PEMBERTON ST
Mailing Address - Street 2:
Mailing Address - City:ADELANTO
Mailing Address - State:CA
Mailing Address - Zip Code:92301-3868
Mailing Address - Country:US
Mailing Address - Phone:760-662-8284
Mailing Address - Fax:
Practice Address - Street 1:423 MACKAY DR
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92408-3230
Practice Address - Country:US
Practice Address - Phone:909-383-1073
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-25
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health