Individual
MR. ROBERT LAMIELLE
Active
Individual
MR. ROBERT LAMIELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCP
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
810002546
VA
103TC0700X
Clinical Psychologist
Primary
0810002546
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010829G34
MEDICARE
VA
01
—
20-4459309
CHOICE CARE
VA
01
—
214929
COM PSYCH
VA
01
—
236803
ANTHEM BC/BC
VA
01
—
244656
VALUE OPTIONS
VA
01
—
328201
TRICARE
VA
01
—
459414000
MAGELLAN
VA
01
—
7714734
MENTAL HN
VA
05
—
7714734
—
VA
Enumeration date
07/05/2006
Last updated
03/07/2014
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