Provider Demographics
NPI:1265138275
Name:LAMPKIN, COURTNEY (DC)
Entity type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:
Last Name:LAMPKIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 W HIGHWAY 290 STE 107
Mailing Address - Street 2:
Mailing Address - City:DRIPPING SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78620-4590
Mailing Address - Country:US
Mailing Address - Phone:601-717-4463
Mailing Address - Fax:
Practice Address - Street 1:2001 W HIGHWAY 290 STE 107
Practice Address - Street 2:
Practice Address - City:DRIPPING SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78620-4590
Practice Address - Country:US
Practice Address - Phone:601-717-4463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15268111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor