Healthcare Provider Details

I. General information

NPI: 1285451740
Provider Name (Legal Business Name): KAREN S LAMPSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2024
Last Update Date: 09/25/2024
Certification Date: 09/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 ELMWOOD AVE STE 100
ROCHESTER NY
14620-3093
US

IV. Provider business mailing address

510 GILMOUR ST APT 2
WEST HENRIETTA NY
14586-8827
US

V. Phone/Fax

Practice location:
  • Phone: 585-271-2897
  • Fax:
Mailing address:
  • Phone: 585-245-3370
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number719190
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: