Provider Demographics
NPI:1275817397
Name:LAMONT, ANDREA JANE (RN, BSN, CDOE)
Entity Type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:JANE
Last Name:LAMONT
Suffix:
Gender:F
Credentials:RN, BSN, CDOE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:248 WETHERSFIELD DR
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-7928
Mailing Address - Country:US
Mailing Address - Phone:401-632-1823
Mailing Address - Fax:
Practice Address - Street 1:248 WETHERSFIELD DR
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-7928
Practice Address - Country:US
Practice Address - Phone:401-632-1823
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-07
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRN27323163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator