Provider Demographics
NPI:1619951043
Name:LAMOUR, JEAN-MICHEL (MD)
Entity Type:Individual
Prefix:DR
First Name:JEAN-MICHEL
Middle Name:
Last Name:LAMOUR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4849 LAKE WORTH RD
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-3455
Mailing Address - Country:US
Mailing Address - Phone:561-433-4446
Mailing Address - Fax:561-433-3026
Practice Address - Street 1:4849 LAKE WORTH RD
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-3455
Practice Address - Country:US
Practice Address - Phone:561-433-4446
Practice Address - Fax:561-433-3026
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME57691207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL377273000Medicaid
FL377273000Medicaid
FLF99164Medicare UPIN