Provider Demographics
NPI:1619192788
Name:LAMPURI, CRISTINA (MD)
Entity Type:Individual
Prefix:MRS
First Name:CRISTINA
Middle Name:
Last Name:LAMPURI
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 1:120A BUTLER STREET
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407
Mailing Address - Country:US
Mailing Address - Phone:561-659-1510
Mailing Address - Fax:561-659-0495
Practice Address - Street 1:120A BUTLER STREET
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407
Practice Address - Country:US
Practice Address - Phone:561-659-1510
Practice Address - Fax:561-659-0495
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILP00297207N00000X
FLME100603207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAL752ZMedicare Oscar/Certification