Provider Demographics
NPI:1841608007
Name:LAMOUR, FRITZ SR
Entity Type:Individual
Prefix:
First Name:FRITZ
Middle Name:
Last Name:LAMOUR
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 CLINTON ST
Mailing Address - Street 2:SUITE 601 HEMPSTEAD
Mailing Address - City:LONG ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:11510
Mailing Address - Country:US
Mailing Address - Phone:516-933-0485
Mailing Address - Fax:516-933-1923
Practice Address - Street 1:50 CLINTON ST
Practice Address - Street 2:SUITE 601
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-4281
Practice Address - Country:US
Practice Address - Phone:516-933-0485
Practice Address - Fax:516-933-1923
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-31
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY314502 DUP164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse