Lakemont Clininc Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LAKEMONT CLININC INC

Practice address

1870 Aloma Ave
Suite 110
Winter Park, FL 32789-4050

Phone

(407) 629-2883

Fax

(407) 629-2883

NPI assigned

May 7, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Timothy Fennell, PHD

Title

Director

Phone

(407) 629-2883

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rene Fulgencio Cruz, MD

  • Internal Medicine Physician
  • Maitland, FL
  • NPI 1578545729
  NPD (past)
• Tim Fennell, PHD

  • Professional Counselor
  • Chamblee, GA
  • NPI 1356618201
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1871706093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 ALOMA AVE",
            "address_2": "SUITE 110",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894050",
            "telephone_number": "407-629-2883",
            "fax_number": "407-629-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 ALOMA AVE",
            "address_2": "SUITE 110",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894050",
            "telephone_number": "407-629-2883",
            "fax_number": "407-629-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEMONT CLININC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "FENNELL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "407-629-2883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "33389",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Don Felix Lahens, MA
• John M Lahr, PA-C
• Thuy Anh Lai
• Lake Behavioral Health Management
• Lake Dental Services, PA (Winterpark Dental Services)
• Lakemont Pediatrics
• Baldev S Lalli, M.D.
• Charles J Lammers, PHD
• Renee Lamorte
• Amber Nicole Lampert, BCBA

• Family Medicine Physician in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.