Provider Demographics
NPI:1932231230
Name:LAMONTAGNE, CYNTHIA L (RN, MSN)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:L
Last Name:LAMONTAGNE
Suffix:
Gender:F
Credentials:RN, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 POND VIEW DR
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:ME
Mailing Address - Zip Code:04027-4237
Mailing Address - Country:US
Mailing Address - Phone:207-339-9556
Mailing Address - Fax:
Practice Address - Street 1:34 POND VIEW DR
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:ME
Practice Address - Zip Code:04027-4237
Practice Address - Country:US
Practice Address - Phone:207-339-9556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MER 043766163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator