Provider Demographics
NPI:1598314346
Name:LAMOND, MICHAEL K (PEER SPECIALIST)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:K
Last Name:LAMOND
Suffix:
Gender:M
Credentials:PEER SPECIALIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1221 MAIN ST STE 309
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-5396
Mailing Address - Country:US
Mailing Address - Phone:413-265-5689
Mailing Address - Fax:413-534-2398
Practice Address - Street 1:1221 MAIN ST STE 309
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-5396
Practice Address - Country:US
Practice Address - Phone:413-265-5689
Practice Address - Fax:413-534-2398
Is Sole Proprietor?:No
Enumeration Date:2019-09-04
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist