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General NPI Number Information
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NPI Number | 1821020892
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Entity Type | Individual
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Provider Name | THOMAS LAMPONE M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 07/09/2010
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Provider Practice Location Address
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Address Line | 104 MATAMOROS DR
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City | GULF BREEZE
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State | FL
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Zip | 32561-5234
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Country | US
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Telephone | 850-406-2282
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Fax | 877-879-2339
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Provider Business Mailing Address
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Address Line | PO BOX 355
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City | GULF BREEZE
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State | FL
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Zip | 32562-0355
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Country | US
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Telephone | 850-406-2282
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Fax | 877-879-2339
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME0052223
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License Number State | FL
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