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General NPI Number Information
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NPI Number | 1952210908
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Entity Type | Individual
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Provider Name | KORTNI LAMPE PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 1400 US HIGHWAY 61
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City | CRYSTAL CTY
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State | MO
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Zip | 63028-4108
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Country | US
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Telephone | 636-933-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 4117 MALCOLM DR
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City | SAINT LOUIS
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State | MO
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Zip | 63125-2221
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Country | US
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Telephone |
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 2024026745
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License Number State | MO
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