Provider Demographics
NPI:1184065120
Name:LAMPE, KARA MICHELLE (PA-C)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:MICHELLE
Last Name:LAMPE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2975 ROSLYN ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80238-3325
Mailing Address - Country:US
Mailing Address - Phone:303-399-7900
Mailing Address - Fax:
Practice Address - Street 1:2975 ROSLYN ST
Practice Address - Street 2:SUITE 100
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80238-3325
Practice Address - Country:US
Practice Address - Phone:303-399-7900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-06
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPA60387620363A00000X
COPA0003728363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant