Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 0056268 | FL |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | ME56268 | FL |
NPI | 1154320166 |
---|---|
Provider Name | Dr. Sandra W Lamphier |
First Address | Temple Terrace, FL 33637-0904 |
Second Address | Dade City, FL 33523-7432 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2005 |
Last Update Date | 17/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0357863000 | (05) | FL |
C68819 | (02) | FL |