Provider Demographics
NPI:1942423025
Name:LAMAS, FERNANDO E (MD)
Entity Type:Individual
Prefix:DR
First Name:FERNANDO
Middle Name:E
Last Name:LAMAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 555
Mailing Address - Street 2:
Mailing Address - City:PORT TOWNSEND
Mailing Address - State:WA
Mailing Address - Zip Code:98368-0555
Mailing Address - Country:US
Mailing Address - Phone:360-385-0349
Mailing Address - Fax:360-379-5503
Practice Address - Street 1:834 SHERIDAN ST
Practice Address - Street 2:
Practice Address - City:PORT TOWNSEND
Practice Address - State:WA
Practice Address - Zip Code:98368-2443
Practice Address - Country:US
Practice Address - Phone:360-385-2200
Practice Address - Fax:360-379-2251
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000255762085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WALA6659OtherREGENCE
WA1078260Medicaid
WAG8800416Medicare PIN
WAF17711Medicare UPIN