Provider Demographics
NPI:1851987028
Name:LAMPRON, LUCAS JAMES (PHARMD)
Entity Type:Individual
Prefix:
First Name:LUCAS
Middle Name:JAMES
Last Name:LAMPRON
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 OSSIPEE TRL E
Mailing Address - Street 2:
Mailing Address - City:STANDISH
Mailing Address - State:ME
Mailing Address - Zip Code:04084-6464
Mailing Address - Country:US
Mailing Address - Phone:207-642-5544
Mailing Address - Fax:207-642-4410
Practice Address - Street 1:111 OSSIPEE TRL E
Practice Address - Street 2:
Practice Address - City:STANDISH
Practice Address - State:ME
Practice Address - Zip Code:04084-6464
Practice Address - Country:US
Practice Address - Phone:207-642-5544
Practice Address - Fax:207-642-4410
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-11
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR12997183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist