Individual
DR. DONALD WAYNE LAMOUREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1801 E STATE ROUTE K, WEST PLAINS, MO 65775-6616
(417) 257-2454
(417) 256-1119
Mailing address
1801 E STATE ROUTE K, WEST PLAINS, MO 65775-6616
(417) 257-2454
(417) 256-1119
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2008014963
MO
207Q00000X
Family Medicine Physician
E2759
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080187876
RAILROAD MEDICARE
AR
05
—
143863003
—
AR
01
—
2008014963
MISSOURI STATE MEDICAL LICENSE
MO
01
—
5L806
BCBS
AR
01
—
E2759
ARKANSAS MEDICAL LICENSE NUMBER
AR
Enumeration date
12/30/2005
Last updated
07/21/2014
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