| Jane Lamp Md Pa | |
|
12957 Palms West Dr Suite 104 Loxahatchee FL 33470-4989 | |
| (561) 333-6033 | |
| (561) 333-6057 |
| Full Name | Jane Lamp Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 12957 Palms West Dr, Loxahatchee, Florida |
| Authorized Official Name and Position | Jane I Lamp (PRESIDENT) |
| Authorized Official Contact | 5613336033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jane Lamp Md Pa 12957 Palms West Dr Suite 104 Loxahatchee FL 33470-4989 Ph: (561) 333-6033 | Jane Lamp Md Pa 12957 Palms West Dr Suite 104 Loxahatchee FL 33470-4989 Ph: (561) 333-6033 |
| NPI Number | 1700980273 |
|---|---|
| Provider Enumeration Date | 09/12/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6901851302 |
|---|---|
| Medicare Enrollment ID | O20050318000315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700980273 | NPI | - | NPPES |
| 35758 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME77706 (Florida) | Primary |
| Provider Name | Jane Irene Lamp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659366425 PECOS PAC ID: 4981659380 Enrollment ID: I20050321000013 |
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