Provider Demographics
NPI:1659577617
Name:LAMOND, JAMES THEODORE (DDS)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:THEODORE
Last Name:LAMOND
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 N WALNUT
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48933
Mailing Address - Country:US
Mailing Address - Phone:517-482-6251
Mailing Address - Fax:517-482-6096
Practice Address - Street 1:314 N WALNUT
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48933
Practice Address - Country:US
Practice Address - Phone:517-482-6251
Practice Address - Fax:517-482-6096
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901015987122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist