Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 34002716L | OH |
NPI | 1396749248 |
---|---|
Provider Name | Barry A Lampl |
First Address | Beachwood, OH 44122-6027 |
Second Address | Beachwood, OH 44122-6027 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2005 |
Last Update Date | 23/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0380467 | (05) | OH |
A79245 | (02) | OH |