Basic Information
Provider Information
NPI: 1306853510
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MOREE
FirstName: LAMAR
MiddleName: HOUSTON
NamePrefix: DR.
NameSuffix: JR.
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 584
Address2:  
City: ALBANY
State: GA
PostalCode: 317020584
CountryCode: US
TelephoneNumber: 2294388551
FaxNumber: 2294399400
Practice Location
Address1: 417 W 3RD AVE
Address2: PHOEBE PUTNEY MEMORIAL PAIN MANAGEMENT CENTER
City: ALBANY
State: GA
PostalCode: 317011943
CountryCode: US
TelephoneNumber: 2293120300
FaxNumber: 2294363718
Other Information
ProviderEnumerationDate: 08/01/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207LP2900X022844GAY Allopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine

No ID Information.


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