Provider Demographics
NPI:1699571604
Name:THE LAMOINE LLC
Entity type:Organization
Organization Name:THE LAMOINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:309-575-3344
Mailing Address - Street 1:203 N RANDOLPH ST
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:IL
Mailing Address - Zip Code:61455-2446
Mailing Address - Country:US
Mailing Address - Phone:309-575-3018
Mailing Address - Fax:
Practice Address - Street 1:203 N RANDOLPH ST
Practice Address - Street 2:
Practice Address - City:MACOMB
Practice Address - State:IL
Practice Address - Zip Code:61455-2446
Practice Address - Country:US
Practice Address - Phone:309-575-3018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty