Individual provider · Type 1 NPI

Jordan Dyne Lamour

Student in an Organized Health Care Education/Training Program · Fort Lauderdale, FL

NPI number 1104721158 Active

Practice location

1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510

Mailing address

10644 NW 7th St
Pembroke Pines, FL 33026-4062

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104721158

Jordan Dyne Lamour's National Provider Identifier is 1104721158, issued on Oct 9, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Oct 9, 2026.