Provider Demographics
NPI:1770699092
Name:LAMP, JUDITH L (DC)
Entity type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:L
Last Name:LAMP
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:44025 PIPELINE PLZ
Mailing Address - Street 2:STE 200
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-5886
Mailing Address - Country:US
Mailing Address - Phone:703-450-4900
Mailing Address - Fax:703-450-4969
Practice Address - Street 1:44025 PIPELINE PLZ
Practice Address - Street 2:STE 200
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-5886
Practice Address - Country:US
Practice Address - Phone:703-450-4900
Practice Address - Fax:703-450-4969
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2018-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VADC000949111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA237411OtherALLIANCE PPO PROVIDER ID
VADC000949OtherPHYSICIAN LISCENSE NUMBER
VA210684OtherBLUE/CROSS BLUE SHIELD