Doctor Name: | KATHLEEN L LAMPERT |
NPI Number: | 1003217274 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 28190724A |
Business Practice Address: | 1550 E County Line Rd Ste 300 Indianapolis, IN - 462271000 |
Business Phone Number: | 3174972300 |
Business Fax Number: | |
Mailing Address: | 6626 E 75th St, Ste 500 INDIANAPOLIS |
State: | IN |
Postal Code: | 462502805 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/08/2014 |
NPI Last Update Date: | 11/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 28190724A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |