Provider Demographics
NPI:1720028467
Name:LAMPRECHT, CARL PHILLIP (MD)
Entity Type:Individual
Prefix:
First Name:CARL
Middle Name:PHILLIP
Last Name:LAMPRECHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82513 ELVIS TAYLOR RD
Mailing Address - Street 2:
Mailing Address - City:BUSH
Mailing Address - State:LA
Mailing Address - Zip Code:70431-2714
Mailing Address - Country:US
Mailing Address - Phone:985-893-2420
Mailing Address - Fax:985-878-1431
Practice Address - Street 1:LALLIE KEMP HOSPITAL
Practice Address - Street 2:52579 HIGHWAY 51 SOUTH
Practice Address - City:INDEPENDENCE
Practice Address - State:LA
Practice Address - Zip Code:70443
Practice Address - Country:US
Practice Address - Phone:985-878-9421
Practice Address - Fax:985-878-1431
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA019567207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine