Healthcare Provider Details

I. General information

NPI: 1407199987
Provider Name (Legal Business Name): CLARA YOMAIRA LAMPI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2013
Last Update Date: 10/08/2024
Certification Date: 10/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 YORK ST
NEW HAVEN CT
06510-3220
US

IV. Provider business mailing address

PO BOX 5371
SEATTLE WA
98145-5005
US

V. Phone/Fax

Practice location:
  • Phone: 203-785-4651
  • Fax:
Mailing address:
  • Phone: 206-987-5223
  • Fax: 206-985-3114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number79502
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: