Healthcare Provider Details

I. General information

NPI: 1023062783
Provider Name (Legal Business Name): ERNEST WILLIAM LAMPE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 03/30/2020
Certification Date: 03/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3329 UNIVERSITY AVENUE SE
MINNEAPOLIS MN
55414
US

IV. Provider business mailing address

550 MAIN STREET SUITE 190
NEW BRIGHTON MN
55112
US

V. Phone/Fax

Practice location:
  • Phone: 612-454-2260
  • Fax: 612-454-2340
Mailing address:
  • Phone: 612-326-7600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number19808
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number19808
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: