Provider Demographics
NPI:1760453773
Name:COPELAND, DYJERLYNN LAMPLEY (MD)
Entity Type:Individual
Prefix:DR
First Name:DYJERLYNN
Middle Name:LAMPLEY
Last Name:COPELAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3845 INTERSTATE CT
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36109-5233
Mailing Address - Country:US
Mailing Address - Phone:662-889-2392
Mailing Address - Fax:334-356-3681
Practice Address - Street 1:3845 INTERSTATE CT
Practice Address - Street 2:SUITE 1
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36109-5233
Practice Address - Country:US
Practice Address - Phone:662-889-2392
Practice Address - Fax:334-356-3681
Is Sole Proprietor?:No
Enumeration Date:2006-01-28
Last Update Date:2014-07-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL00026392207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine