JULIE A LAMPLEY-DOUGLASS PA-C NPI 1831394782

NPI Information

NPI: 1831394782
Provider Name: JULIE A LAMPLEY-DOUGLASS, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
4105 N WATER TOWER PL
MOUNT VERNON, IL
ZIP 62864
Phone: (618) 246-2910
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Julie A Lampley-douglass, PA-C is a medical physician assistant in Mount Vernon, IL. Julie A Lampley-douglass, PA-C NPI is 1831394782. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4105 N WATER TOWER PL
MOUNT VERNON, IL
ZIP 62864-296
Phone: (618) 246-2910
Fax: (618) 246-2912

The NPI 1831394782 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/20/2007 and was last updated on 5/10/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	085002864	ILLINOIS	No
2	363AM0700X	Physician Assistant	Medical	085-002864	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3932056	OTHER	ILLINOIS	BCBS GROUP NUMBER
2	7210895	OTHER	ILLINOIS	AETNA GROUP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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