Individual
COURTNEY I LAMONDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
11582 C STREET, JOINT BASE LEWIS-MCCHORD, WA 98431
(253) 966-1991
Mailing address
JOINT BASE LEWIS-MCCHORD DENTAC, 9900 LINCOLN STREET 2ND FLOOR, TACOMA, WA 98431
(253) 968-4079
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00205483
CO
1223G0001X
General Practice Dentistry
D11158
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D11158
DENTAL LICENSE
OR
Enumeration date
09/18/2019
Last updated
04/11/2023
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