Provider Demographics
NPI:1487004859
Name:LAMOUR, MAGALIE STACIE (RN)
Entity Type:Individual
Prefix:MRS
First Name:MAGALIE
Middle Name:STACIE
Last Name:LAMOUR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12809 ODENS BEQUEST DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-5615
Mailing Address - Country:US
Mailing Address - Phone:202-460-8656
Mailing Address - Fax:
Practice Address - Street 1:12809 ODENS BEQUEST DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-5615
Practice Address - Country:US
Practice Address - Phone:202-460-8656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-16
Last Update Date:2016-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDRN192442163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health