MEDICARE: DR. MARC S LAMPELL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	ME130939	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154390508
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARC S LAMPELL M.D.

Provider Business Mailing Address
First Line	:	28744 MONTECRISTO LOOP
Second Line	:
City	:	BONITA SPRINGS
State	:	FL
Zip	:	34135-8942
Country	:	US
Telephone Number	:	516-455-7181
Fax Number	:

Provider Business Practice Location Address
First Line	:	4560 LANTANA RD STE 110115
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-6998
Country	:	US
Telephone Number	:	305-266-2929
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	01/21/2025

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