Provider Demographics
NPI:1871249573
Name:LAMAR, TWANDA SHERICE
Entity Type:Individual
Prefix:MISS
First Name:TWANDA
Middle Name:SHERICE
Last Name:LAMAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 SADDLEBACK RIDGE DR APT F
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-6768
Mailing Address - Country:US
Mailing Address - Phone:704-499-2323
Mailing Address - Fax:334-323-7370
Practice Address - Street 1:2915 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36107-3009
Practice Address - Country:US
Practice Address - Phone:704-499-2323
Practice Address - Fax:334-323-7370
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-22
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)