Provider Demographics
NPI:1134717432
Name:COOPER LAMPLEY, PAULA D (PHD)
Entity type:Individual
Prefix:DR
First Name:PAULA
Middle Name:D
Last Name:COOPER LAMPLEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:PAULA
Other - Middle Name:D
Other - Last Name:COOPER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2803 N DR MARTIN LUTHER KING JR DR
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53212-2313
Mailing Address - Country:US
Mailing Address - Phone:414-397-8871
Mailing Address - Fax:414-269-9990
Practice Address - Street 1:2803 N DR MARTIN LUTHER KING JR DR
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53212-2313
Practice Address - Country:US
Practice Address - Phone:414-397-8871
Practice Address - Fax:414-269-9990
Is Sole Proprietor?:No
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor