Provider Demographics
NPI:1881775963
Name:LAMPMAN, JAMES H (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:H
Last Name:LAMPMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 981
Mailing Address - Street 2:30 BOTSFORD ROAD
Mailing Address - City:KENT
Mailing Address - State:CT
Mailing Address - Zip Code:06757-0981
Mailing Address - Country:US
Mailing Address - Phone:203-216-5633
Mailing Address - Fax:860-927-5265
Practice Address - Street 1:30 BOTSFORD RD
Practice Address - Street 2:BOX 981
Practice Address - City:KENT
Practice Address - State:CT
Practice Address - Zip Code:06757-1228
Practice Address - Country:US
Practice Address - Phone:203-216-5633
Practice Address - Fax:860-927-5265
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND5268207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND110023711OtherRR MEDICARE
ND15138Medicaid
NDB47375Medicare UPIN
ND15138Medicaid