Provider Demographics
NPI:1831120476
Name:LAMPARELLI, JAMES STEPHEN (NP)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:STEPHEN
Last Name:LAMPARELLI
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5619 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:NY
Mailing Address - Zip Code:14020-9609
Mailing Address - Country:US
Mailing Address - Phone:585-201-7055
Mailing Address - Fax:585-219-6140
Practice Address - Street 1:5619 E MAIN ST
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:NY
Practice Address - Zip Code:14020-9609
Practice Address - Country:US
Practice Address - Phone:585-201-7055
Practice Address - Fax:585-219-6140
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF334936363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02922301Medicaid
NY02922301Medicaid