Basic Information
| Provider Information | |||||||||
| NPI: | 1942298237 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LAMOND | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | NICHOLAS | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 317 N KING ST | ||||||||
| Address2: | |||||||||
| City: | HENDERSONVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287924349 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8286933344 | ||||||||
| FaxNumber: | 8286922487 | ||||||||
| Practice Location | |||||||||
| Address1: | 317 N KING ST | ||||||||
| Address2: | SUITE A | ||||||||
| City: | HENDERSONVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287924349 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8286933344 | ||||||||
| FaxNumber: | 8286922487 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/11/2005 | ||||||||
| LastUpdateDate: | 09/16/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 200400137 | NC | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 89136PV | 05 | NC | MEDICAID |