Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 28190724A | IN |
NPI | 1003217274 |
---|---|
Provider Name | Kathleen L Lampert |
First Address | Indianapolis, IN 46250-2805 |
Second Address | Indianapolis, IN 46227-1000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2014 |
Last Update Date | 12/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
201261970 | (05) | IN |
71005136A | IN APN LICENSE (01) | IN |
P01588230 | RR MEDICARE (01) | IN |