Provider Demographics
NPI:1316161615
Name:LAMOUREUX, BRITTANY LYNN (DMD)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:LYNN
Last Name:LAMOUREUX
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29525 CANWOOD ST STE 301
Mailing Address - Street 2:
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-4232
Mailing Address - Country:US
Mailing Address - Phone:818-706-0975
Mailing Address - Fax:818-706-3951
Practice Address - Street 1:29525 CANWOOD ST STE 301
Practice Address - Street 2:
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-4232
Practice Address - Country:US
Practice Address - Phone:818-706-0975
Practice Address - Fax:818-706-3951
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52779122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist