NPI Code Details Logo

NPI 1194836221

NPI 1194836221 : AMY K LANSMAN MD : PHILADELPHIA, PA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1194836221
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    AMY K LANSMAN MD
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/31/2006
-----------------------------------------------------
    Last Update Date     |    03/03/2008
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1919 WALNUT ST 
-----------------------------------------------------
    City                 |    PHILADELPHIA
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    19103-4609
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    215-564-2800
-----------------------------------------------------
    Fax                  |    215-564-3097
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 30537 
-----------------------------------------------------
    City                 |    PHILADELPHIA
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    19103-8537
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    215-564-2800
-----------------------------------------------------
    Fax                  |    215-564-3097
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2085B0100X
-----------------------------------------------------
    Taxonomy Name        |    Body Imaging Physician
-----------------------------------------------------
    License Number       |    MD030479E
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    2085N0904X
-----------------------------------------------------
    Taxonomy Name        |    Nuclear Radiology Physician
-----------------------------------------------------
    License Number       |    MD030479E
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    2085R0202X
-----------------------------------------------------
    Taxonomy Name        |    Diagnostic Radiology Physician
-----------------------------------------------------
    License Number       |    MD030479E
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    2085U0001X
-----------------------------------------------------
    Taxonomy Name        |    Diagnostic Ultrasound Physician
-----------------------------------------------------
    License Number       |    MD030479E
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.