Provider Demographics
NPI:1275583163
Name:LAMPKIN, S L IV (MD)
Entity Type:Individual
Prefix:DR
First Name:S L
Middle Name:
Last Name:LAMPKIN
Suffix:IV
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2234
Mailing Address - Country:US
Mailing Address - Phone:615-336-7384
Mailing Address - Fax:615-327-5597
Practice Address - Street 1:1005 DR DB TODD JR BLVD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37208-3501
Practice Address - Country:US
Practice Address - Phone:615-336-7384
Practice Address - Fax:615-327-5597
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN13877207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3195235Medicaid
TN441500OtherMEDICARE
TN3195235Medicaid