Healthcare Provider Details

I. General information

NPI: 1740391259
Provider Name (Legal Business Name): LAWRENCE M LAMPTON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 12/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1504 E BROADWAY SUITE 218
COLUMBIA MO
65201-8077
US

IV. Provider business mailing address

1504 E BROADWAY SUITE 218
COLUMBIA MO
65201-8077
US

V. Phone/Fax

Practice location:
  • Phone: 573-815-2299
  • Fax: 573-815-2466
Mailing address:
  • Phone: 573-815-2299
  • Fax: 573-815-2466

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number30700
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: