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Individual
WAYNE TENNEY LAMOREAUX
Active
Individual
WAYNE TENNEY LAMOREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
M-12234
ID
2085R0001X
Radiation Oncology Physician
Primary
MD00044645
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010151249
BLUE SHIELD OF IDAHO
—
01
—
0195424
LABOR & INDUSTRIES
WA
01
—
7403749
AETNA
—
01
—
7627LA
ASURIS NW HEALTH PLAN
—
05
—
807181200
—
ID
05
—
8421562
—
WA
01
—
KAE01
BLUE CROSS OF IDAHO
—
01
—
P00236986
RAILROAD MEDICARE
—
Enumeration date
10/19/2005
Last updated
03/24/2017
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