Provider Demographics
NPI:1841243805
Name:LAMPERSKI INTERNAL MEDICINE, LLC
Entity type:Organization
Organization Name:LAMPERSKI INTERNAL MEDICINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:D
Authorized Official - Last Name:BOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-486-3076
Mailing Address - Street 1:4068 MOUNT ROYAL BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ALLISON PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15101-2977
Mailing Address - Country:US
Mailing Address - Phone:412-486-3076
Mailing Address - Fax:412-492-0884
Practice Address - Street 1:4068 MOUNT ROYAL BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:ALLISON PARK
Practice Address - State:PA
Practice Address - Zip Code:15101-2977
Practice Address - Country:US
Practice Address - Phone:412-486-3076
Practice Address - Fax:412-492-0884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD045145L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1600497OtherHIGHMARK PROVIDER NUMBER
PAF09502Medicare UPIN
PAB40873Medicare UPIN