Provider Demographics
NPI:1568723955
Name:LAMPLEY, SHANI T (MD)
Entity Type:Individual
Prefix:
First Name:SHANI
Middle Name:T
Last Name:LAMPLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 MISSIONARY RDG STE 200
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5203
Mailing Address - Country:US
Mailing Address - Phone:205-995-2260
Mailing Address - Fax:205-980-0133
Practice Address - Street 1:101 MISSIONARY RDG STE 200
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-5203
Practice Address - Country:US
Practice Address - Phone:205-995-2260
Practice Address - Fax:205-980-0133
Is Sole Proprietor?:No
Enumeration Date:2012-06-02
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
AL33140207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program