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Individual

LAMONT LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6666 JULLIARD DR, FAYETTEVILLE, NC 28311-0134
(910) 916-6244
Mailing address
41 GREAT PINE CT, SPRING LAKE, NC 28390-7158
(910) 916-6244
(910) 339-4552

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
NC

Other

Enumeration date
03/20/2026
Last updated
03/20/2026
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