MEDICARE: MYLES E LAMPENFELD MD

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	2085R0001X	Radiation Oncology Physician	G44388	CA

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	:	1558449033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MYLES E LAMPENFELD MD

Provider Business Mailing Address
First Line	:	2317 LEIMERT BLVD
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94602-2017
Country	:	US
Telephone Number	:	510-882-5530
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 W 12TH ST STE A
Second Line	:
City	:	ERIE
State	:	PA
Zip	:	16505-4500
Country	:	US
Telephone Number	:	814-838-9000
Fax Number	:	814-838-0464

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

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	11/22/2019

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