Basic Information
| Provider Information | |||||||||
| NPI: | 1346376159 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LAMONDE | ||||||||
| FirstName: | LAURIE | ||||||||
| MiddleName: | ANNE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PH.D. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | EHRBAR | ||||||||
| OtherFirstName: | LAURIE | ||||||||
| OtherMiddleName: | ANNE | ||||||||
| OtherNamePrefix: | MISS | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | |||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 1050 SILVER DR. | ||||||||
| Address2: | |||||||||
| City: | TRAVERSE CITY | ||||||||
| State: | MI | ||||||||
| PostalCode: | 49684 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2319472255 | ||||||||
| FaxNumber: | 2319475982 | ||||||||
| Practice Location | |||||||||
| Address1: | DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER | ||||||||
| Address2: | 10,000 BAY PINES BLVD. | ||||||||
| City: | BAY PINES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 33744 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7273986661 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/26/2007 | ||||||||
| LastUpdateDate: | 03/26/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | 6301014789 | MI | N | Behavioral Health & Social Service Providers | Psychologist | Clinical | 103TC0700X | PY6732 | FL | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.