Provider Demographics
NPI:1710143524
Name:LAMPE, JANA MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:JANA
Middle Name:MARIE
Last Name:LAMPE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 N BELCHER RD
Mailing Address - Street 2:SUITE #4
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-2608
Mailing Address - Country:US
Mailing Address - Phone:727-791-9355
Mailing Address - Fax:727-683-9466
Practice Address - Street 1:407 N BELCHER RD
Practice Address - Street 2:SUITE #4
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-2608
Practice Address - Country:US
Practice Address - Phone:727-791-9355
Practice Address - Fax:727-683-9466
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-31
Last Update Date:2014-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8617111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL89454OtherBLUE CROSS BLUE SHIELD
FL89454OtherBLUE CROSS BLUE SHIELD
FL89454AMedicare PIN