Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 2006-01640 | NC |
N | 208000000X | Pediatrician | MD25811 | DC |
NPI | 1104908409 |
---|---|
Provider Name | Victoria Garriett-Lampkin |
First Address | Huntersville, NC 28078-2333 |
Second Address | Huntersville, NC 28078-2333 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2006 |
Last Update Date | 03/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
028241700 | (05) | DC |
1104908409 | (05) | NC |
5865093 | (05) | VA |
699504700 | (05) | MD |
H18079 | (02) |