Doctor Name: | DAVID MORRIS LAMPORT |
NPI Number: | 1245267350 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 50.001091 |
Business Practice Address: | 122 Columbus Rd Fredericktown, OH - 430191266 |
Business Phone Number: | 7406941261 |
Business Fax Number: | 7406947145 |
Mailing Address: | 122 Columbus Rd, FREDERICKTOWN |
State: | OH |
Postal Code: | 430191266 |
Phone Number: | 7406941261 |
Fax Number: | 7406947145 |
NPI Enumeration Date: | 06/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 50.001091 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |