Jordan Dyne Lamour
Student in an Organized Health Care Education/Training Program in Fort Lauderdale, FL. Individual provider (NPI-1).
NPI number1104721158
StatusActive
Last updated in NPPESOct 9, 2026
Details
- NPI
- 1104721158
- Entity type
- Individual (NPI-1)
- Name
- Jordan Dyne Lamour
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 9, 2026
- Certification date
- Oct 9, 2026
- Last updated
- Oct 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1600 S Andrews AveFort Lauderdale, FL 33316-2510
Phone 954-355-4400
Mailing address
10644 Nw 7th StPembroke Pines, FL 33026-4062
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All 423 Student in an Organized Health Care Education/Training Program providers in Fort Lauderdale · All 7,485 providers in Fort Lauderdale
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