Provider Demographics
NPI:1659570976
Name:LAMPI, LAUREN RICHARD (D D S)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:RICHARD
Last Name:LAMPI
Suffix:
Gender:M
Credentials:D D S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 NE 4TH ST
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:55744-2852
Mailing Address - Country:US
Mailing Address - Phone:218-326-8558
Mailing Address - Fax:
Practice Address - Street 1:333 NE 4TH ST
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:55744-2852
Practice Address - Country:US
Practice Address - Phone:218-326-8558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN72211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice