Doctor Name: | DR. MARLENE KAY LAMP |
NPI Number: | 1093866188 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | G054126 |
Business Practice Address: | 970 Petit Ave Ste D Ventura, CA - 930042215 |
Business Phone Number: | 8056591166 |
Business Fax Number: | 8056595765 |
Mailing Address: | 7152 Ridgecrest Ct, VENTURA |
State: | CA |
Postal Code: | 930031433 |
Phone Number: | 8056582451 |
Fax Number: | 8056581725 |
NPI Enumeration Date: | 01/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | G054126 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |