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NPI Code Detail

MEDICARE: BETTY ABA LAMPTEY

MEDICARE: BETTY ABA LAMPTEY
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner245755GA

General Provider Information

NPI Number : 1164152039
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETTY ABA LAMPTEY
Provider Business Mailing Address
First Line : 709 BREEDLOVE DR
Second Line :
City : MONROE
State : GA
Zip : 30655-2055
Country : US
Telephone Number : 678-635-3500
Fax Number :
Provider Business Practice Location Address
First Line : 709 BREEDLOVE DR
Second Line :
City : MONROE
State : GA
Zip : 30655-2055
Country : US
Telephone Number : 678-635-3500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2022
Last Update Date : 06/14/2022

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Directions to “ BETTY ABA LAMPTEY ” Practice Location

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