MEDICARE: ARTHUR LAMPERT

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	207Q00000X	Family Medicine Physician	0812	SD

General Provider Information

NPI Number	:	1467003251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARTHUR LAMPERT

Provider Business Mailing Address
First Line	:	1770 TABLEROCK RD APT 120
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57701-5586
Country	:	US
Telephone Number	:	605-342-1711
Fax Number	:

Provider Business Practice Location Address
First Line	:	1770 TABLEROCK RD APT 120
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57701-5586
Country	:	US
Telephone Number	:	605-342-1711
Fax Number	:

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

Provider Enumeration Date	:	09/24/2019
Last Update Date	:	09/24/2019

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Directions to “ ARTHUR LAMPERT ” Practice Location

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