| Diana Lampsa Mdsc | |
|
1425 Memorial Dr Manitowoc WI 54220-6707 | |
| (920) 683-9500 | |
| Not Available |
| Full Name | Diana Lampsa Mdsc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1425 Memorial Dr, Manitowoc, Wisconsin |
| Authorized Official Name and Position | Diana Lampsa (OWNER PRESIDENT) |
| Authorized Official Contact | 9206839500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Lampsa Mdsc 1425 Memorial Dr Manitowoc WI 54220-6707 Ph: (920) 683-9500 | Diana Lampsa Mdsc 1425 Memorial Dr Manitowoc WI 54220-6707 Ph: (920) 683-9500 |
| NPI Number | 1144241027 |
|---|---|
| Provider Enumeration Date | 07/23/2006 |
| Last Update Date | 03/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144241027 | NPI | - | NPPES |
| 30802000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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