Provider Demographics
NPI:1720557127
Name:DR. TIFFANY LAMONDE LLC
Entity Type:Organization
Organization Name:DR. TIFFANY LAMONDE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:ALLYN
Authorized Official - Last Name:LAMONDE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:770-855-5621
Mailing Address - Street 1:1445 HAW CREEK CIRCLE
Mailing Address - Street 2:SUITE 503
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041
Mailing Address - Country:US
Mailing Address - Phone:770-855-5621
Mailing Address - Fax:855-849-5620
Practice Address - Street 1:1445 HAW CREEK CIRCLE
Practice Address - Street 2:SUITE 503
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041
Practice Address - Country:US
Practice Address - Phone:770-855-5621
Practice Address - Fax:855-849-5620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-15
Last Update Date:2018-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty