Provider Demographics
NPI:1730139072
Name:LAMONT, ROBERT C (MPT)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:C
Last Name:LAMONT
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15795 MUSSEY GRADE RD
Mailing Address - Street 2:
Mailing Address - City:RAMONA
Mailing Address - State:CA
Mailing Address - Zip Code:92065-7439
Mailing Address - Country:US
Mailing Address - Phone:760-807-9550
Mailing Address - Fax:760-284-9555
Practice Address - Street 1:15795 MUSSEY GRADE RD
Practice Address - Street 2:
Practice Address - City:RAMONA
Practice Address - State:CA
Practice Address - Zip Code:92065-7439
Practice Address - Country:US
Practice Address - Phone:760-807-9550
Practice Address - Fax:760-284-9555
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25615225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWPT25615AMedicare PIN