Provider Demographics
NPI:1710755665
Name:GILMORE, LAMONE (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:LAMONE
Middle Name:
Last Name:GILMORE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:MS
Other - First Name:LAMONE
Other - Middle Name:
Other - Last Name:PERINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7915 W APPLETON AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53218-4500
Mailing Address - Country:US
Mailing Address - Phone:414-600-3676
Mailing Address - Fax:
Practice Address - Street 1:7915 W APPLETON AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53218-4500
Practice Address - Country:US
Practice Address - Phone:414-600-3676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-19
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI14850-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily