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NPI Code Detail

MEDICARE: MS. LISA D'ANN HAMPTON L.M.P.

MEDICARE: MS. LISA D'ANN HAMPTON L.M.P.
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
1225700000XMassage TherapistMA00014314WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1141107OTHERWALABOR AND INDUSTRIES

General Provider Information

NPI Number : 1902028954
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LISA D'ANN HAMPTON L.M.P.
Provider Business Mailing Address
First Line : 627 B STREET
Second Line :
City : CHENEY
State : WA
Zip : 99004-1768
Country : US
Telephone Number : 509-235-2780
Fax Number :
Provider Business Practice Location Address
First Line : 627 B STREET
Second Line :
City : CHENEY
State : WA
Zip : 99004-1768
Country : US
Telephone Number : 509-235-2780
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2007
Last Update Date : 07/08/2007

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