Provider Demographics
NPI:1083902324
Name:LAMPONE, ALEXANDER R (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:R
Last Name:LAMPONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 367
Mailing Address - Street 2:
Mailing Address - City:PACIFIC PALISADES
Mailing Address - State:CA
Mailing Address - Zip Code:90272-0367
Mailing Address - Country:US
Mailing Address - Phone:310-990-9082
Mailing Address - Fax:213-788-4886
Practice Address - Street 1:15332 ANTIOCH ST
Practice Address - Street 2:#459
Practice Address - City:PACIFIC PALISADES
Practice Address - State:CA
Practice Address - Zip Code:90272-3628
Practice Address - Country:US
Practice Address - Phone:310-742-3500
Practice Address - Fax:800-610-2574
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-20
Last Update Date:2016-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG25058202C00000X, 207P00000X, 208D00000X, 209800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No202C00000XAllopathic & Osteopathic PhysiciansIndependent Medical Examiner
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No209800000XAllopathic & Osteopathic PhysiciansLegal Medicine