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NPI 1871919142

NPI 1871919142 : LYNN R. LAMPERT PH.D LLC : BOCA RATON, FL

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General NPI Number Information
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    NPI Number           |    1871919142
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    Entity Type          |    Organization 
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    Legal Business Name  |    LYNN R. LAMPERT PH.D LLC 
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Dates
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    Enumeration Date     |    03/11/2014
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    Last Update Date     |    03/11/2014
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Provider Practice Location Address
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    Address Line         |    2900 N MILITARY TRL ST. 165
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    City                 |    BOCA RATON
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    State                |    FL
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    Zip                  |    33431-6365
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    Country              |    US
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    Telephone            |    561-451-5799
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2900 N. MILITARY TRAIL ST. 165
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    City                 |    BOCA RATON
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    State                |    FL
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    Zip                  |    33431-3813
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    Country              |    US
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    Telephone            |    561-451-5799
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DR
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    Name                 |     LYNN  LAMPERT 
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    Credential           |    PHD
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    Telephone            |    561-451-5799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    PY3541
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    License Number State |    FL
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