Provider Demographics
NPI:1740391259
Name:LAMPTON, LAWRENCE M (MD)
Entity Type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:M
Last Name:LAMPTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1504 E BROADWAY
Mailing Address - Street 2:SUITE 218
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-8077
Mailing Address - Country:US
Mailing Address - Phone:573-815-2299
Mailing Address - Fax:573-815-2466
Practice Address - Street 1:1504 E BROADWAY
Practice Address - Street 2:SUITE 218
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-8077
Practice Address - Country:US
Practice Address - Phone:573-815-2299
Practice Address - Fax:573-815-2466
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2013-12-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO30700207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO200560910Medicaid
MO200560910Medicaid
MOA11147Medicare UPIN