MEDICARE: DR. SANDRA W LAMPHIER MD

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
1	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician	ME56268	FL
2	207Q00000X	Family Medicine Physician	0056268	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154320166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SANDRA W LAMPHIER MD

Provider Business Mailing Address
First Line	:	12470 TELECOM DR STE 300W
Second Line	:
City	:	TEMPLE TERRACE
State	:	FL
Zip	:	33637-0904
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	16524 JESSAMINE RD
Second Line	:
City	:	DADE CITY
State	:	FL
Zip	:	33523-7432
Country	:	US
Telephone Number	:	352-588-2165
Fax Number	:	352-588-4628

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	02/17/2020

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