Provider Demographics
NPI:1336174044
Name:LAMEY, JOHN DANIEL JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:DANIEL
Last Name:LAMEY
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:5972 CAHILL AVE
Mailing Address - Street 2:SUITE 112
Mailing Address - City:INVER GROVE HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55076-5500
Mailing Address - Country:US
Mailing Address - Phone:651-451-6954
Mailing Address - Fax:651-451-2103
Practice Address - Street 1:5972 CAHILL AVE
Practice Address - Street 2:SUITE 112
Practice Address - City:INVER GROVE HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55076-5500
Practice Address - Country:US
Practice Address - Phone:651-451-6954
Practice Address - Fax:651-451-2103
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN19720207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN24771LAOtherBCBS MN
MN01-02401OtherMEDICA
MN01-02401OtherMEDICA