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NPI Code Detail

MEDICARE: VICTORIA GARRIETT-LAMPKIN MD, MPH

MEDICARE:   VICTORIA  GARRIETT-LAMPKIN  MD, MPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianMD25811DC
2208M00000XHospitalist Physician2006-01640NC
3207RH0002XHospice and Palliative Medicine (Internal Medicine) Physician2006-01640NC

Other Identifiers

General Provider Information

NPI Number : 1104908409
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA GARRIETT-LAMPKIN MD, MPH
Provider Business Mailing Address
First Line : 6055 LATTA SPRINGS CIR
Second Line :
City : HUNTERSVILLE
State : NC
Zip : 28078-2333
Country : US
Telephone Number : 704-737-7071
Fax Number :
Provider Business Practice Location Address
First Line : 6055 LATTA SPRINGS CIR
Second Line :
City : HUNTERSVILLE
State : NC
Zip : 28078-2333
Country : US
Telephone Number : 704-737-7071
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2006
Last Update Date : 04/03/2019

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