Healthcare Provider Details

I. General information

NPI: 1952911141
Provider Name (Legal Business Name): LUCI MARIE TRAMPOSCH HAMILTON PA-C, LAT, ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2020
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1717 SHIPYARD BLVD STE 100
WILMINGTON NC
28403-8019
US

IV. Provider business mailing address

4700 EXCHANGE CT STE 110
BOCA RATON FL
33431-4450
US

V. Phone/Fax

Practice location:
  • Phone: 910-794-5355
  • Fax: 910-794-5358
Mailing address:
  • Phone: 561-948-0291
  • Fax: 561-859-0429

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number334355
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberLAT-4638
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: