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Individual

RICHARD G LAMERE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2648 HOLIDAY RANCH LOOP RD, PARK CITY, UT 84060-6838
(435) 655-1305
Mailing address
2648 HOLIDAY RANCH LOOP RD, PARK CITY, UT 84060-6838
(435) 655-1305

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
6264458 1205
UT
208000000X
Pediatrics Physician
F7506
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00U87Z
BCBSTX GRP PIN
TX
05
080350401
TX
01
0906220
CIGNA PIN
TX
01
133499
PHCS PIN
TX
05
135136303
TX
05
135136304
TX
05
135136308
TX
05
140442814
TX
01
1640385
FIRSTHEALTH PIN
TX
01
1750369203
GRP NPI NUMBER
01
4110727
AETNA PIN
TX
01
645823
UHC PIN
TX
01
86700F
BCBSTX IND PIN
TX
01
LAMRE77731
CCHIP PIN
TX
Enumeration date
10/17/2006
Last updated
11/17/2021
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