| Lampa Medical, Inc. | |
|
1930 Tienda Dr Suite 204 Lodi CA 95242-3933 | |
| (209) 333-9950 | |
| (209) 333-9948 |
| Full Name | Lampa Medical, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1930 Tienda Dr, Lodi, California |
| Authorized Official Name and Position | Walter Joseph Lampa (OWNER) |
| Authorized Official Contact | 2093339950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lampa Medical, Inc. 1930 Tienda Dr Suite 204 Lodi CA 95242-3933 Ph: (209) 333-9950 | Lampa Medical, Inc. 1930 Tienda Dr Suite 204 Lodi CA 95242-3933 Ph: (209) 333-9950 |
| NPI Number | 1861818239 |
|---|---|
| Provider Enumeration Date | 03/10/2014 |
| Last Update Date | 03/10/2014 |
| Medicare PECOS PAC ID | 0244455277 |
|---|---|
| Medicare Enrollment ID | O20140708001574 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861818239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 128829 (California) | Primary |
| Provider Name | Walter J Lampa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134385354 PECOS PAC ID: 1951526987 Enrollment ID: I20140708001769 |
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