Individual
JORDAN LAMOT HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1-504 PIR, FORT BRAGG, NC 28310-0001
(910) 603-7820
Mailing address
11 BAINBRIDGE PL UNIT 601, NEWBURGH, NY 12550-7427
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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