Provider Demographics
NPI:1609826312
Name:LAMOUNIER, FERNANDO NEVES (MD)
Entity Type:Individual
Prefix:DR
First Name:FERNANDO
Middle Name:NEVES
Last Name:LAMOUNIER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2222 N NEVADA AVE STE 5011
Mailing Address - Street 2:CARDIAC AND THORACIC SURGERY ASSOCIATES
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-6819
Mailing Address - Country:US
Mailing Address - Phone:719-776-7623
Mailing Address - Fax:719-473-3553
Practice Address - Street 1:2222 N NEVADA AVE
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-6819
Practice Address - Country:US
Practice Address - Phone:719-776-7600
Practice Address - Fax:719-473-3553
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-110757208G00000X
COCDRH.0044503208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL202172007Medicare PIN