Provider Demographics
NPI:1144776493
Name:LAMPKE, ANNA (LMT)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:LAMPKE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1471 GREENWOOD LN
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29730-3223
Mailing Address - Country:US
Mailing Address - Phone:704-796-8471
Mailing Address - Fax:
Practice Address - Street 1:1156 EBENEZER RD
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-3068
Practice Address - Country:US
Practice Address - Phone:704-796-8471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-28
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14576225700000X
SC10161225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist