1316053887 NPI number — LISA LAMPMAN CNS-RN

Table of content: LISA LAMPMAN CNS-RN (NPI 1316053887)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316053887 NPI number — LISA LAMPMAN CNS-RN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LAMPMAN
Provider First Name:
LISA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
CNS-RN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FELGER
Provider Other First Name:
LISA
Provider Other Middle Name:
RENEE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
CNS-RN
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1316053887
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/08/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1007 MO PAC CIR
Provider Second Line Business Mailing Address:
SUITE 201
Provider Business Mailing Address City Name:
AUSTIN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78746-6864
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-300-2455
Provider Business Mailing Address Fax Number:
512-300-2454

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1007 MO PAC CIR
Provider Second Line Business Practice Location Address:
SUITE 201
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78746-6864
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-300-2455
Provider Business Practice Location Address Fax Number:
512-300-2454
Provider Enumeration Date:
08/21/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 364SA2200X , with the licence number:  664485 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LP0808X , with the licence number: 664485 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 164425401 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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