Individual
LAMONT WALLACE HORNBECK
Active
Individual
LAMONT WALLACE HORNBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
G0517340
CA
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
G0517340
CA
207NS0135X
Procedural Dermatology Physician
Primary
G0517340
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G517340
—
CA
Enumeration date
07/02/2006
Last updated
09/11/2025
Update your record
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