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Organization
JANE LAMP MD PA
Active
Organization
JANE LAMP MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANE I LAMP MD (PRESIDENT)
(561) 333-6033
Entity
Organization
Contact information
Practice address
12957 PALMS WEST DR, SUITE 104, LOXAHATCHEE, FL 33470-4989
(561) 333-6033
(561) 333-6057
Mailing address
12957 PALMS WEST DR, SUITE 104, LOXAHATCHEE, FL 33470-4989
(561) 333-6033
(561) 333-6057
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME77706
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35758
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/12/2006
Last updated
08/22/2020
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