Provider Demographics
NPI:1245251560
Name:LAMOUREUX, LESTER A (DC)
Entity type:Individual
Prefix:DR
First Name:LESTER
Middle Name:A
Last Name:LAMOUREUX
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 OAK TREE VLG
Mailing Address - Street 2:
Mailing Address - City:DONIPHAN
Mailing Address - State:MO
Mailing Address - Zip Code:63935-1901
Mailing Address - Country:US
Mailing Address - Phone:573-996-7276
Mailing Address - Fax:
Practice Address - Street 1:8 OAK TREE VLG
Practice Address - Street 2:
Practice Address - City:DONIPHAN
Practice Address - State:MO
Practice Address - Zip Code:63935-1901
Practice Address - Country:US
Practice Address - Phone:573-996-7276
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO5265111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOT62534Medicare UPIN
MO000031335Medicare ID - Type Unspecified