Individual
CALLY RAE LAMPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 S NATIONAL AVE STE 900, SPRINGFIELD, MO 65807-5210
(417) 269-3000
Mailing address
3801 S NATIONAL AVE STE 900, SPRINGFIELD, MO 65807-5210
(417) 269-3000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021025125
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420097657
—
MO
Enumeration date
07/06/2021
Last updated
07/26/2021
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