Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | C10007996 | DE |
NPI | 1003842436 |
---|---|
Provider Name | Dr. Lyndon B Cagampan |
First Address | Dover, DE 19904-3485 |
Second Address | Dover, DE 19904-3485 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2006 |
Last Update Date | 29/06/2011 |