Provider Demographics
NPI:1639478084
Name:LAMPERT, SEASON
Entity Type:Individual
Prefix:
First Name:SEASON
Middle Name:
Last Name:LAMPERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2363 N 5TH ST
Mailing Address - Street 2:STE 102
Mailing Address - City:ELKO
Mailing Address - State:NV
Mailing Address - Zip Code:89801-8459
Mailing Address - Country:US
Mailing Address - Phone:775-738-2484
Mailing Address - Fax:775-738-5756
Practice Address - Street 1:2363 N 5TH ST
Practice Address - Street 2:STE 102
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-8459
Practice Address - Country:US
Practice Address - Phone:775-738-2484
Practice Address - Fax:775-738-5756
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-24
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker