Healthcare Provider Details

I. General information

NPI: 1154390508
Provider Name (Legal Business Name): MARC S LAMPELL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2006
Last Update Date: 01/21/2025
Certification Date: 01/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4560 LANTANA RD STE 110115
LAKE WORTH FL
33463-6998
US

IV. Provider business mailing address

28744 MONTECRISTO LOOP
BONITA SPRINGS FL
34135-8942
US

V. Phone/Fax

Practice location:
  • Phone: 305-266-2929
  • Fax:
Mailing address:
  • Phone: 516-455-7181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberME130939
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: