Individual
LIEZL LAMPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MPH
Contact information
Practice address
2020 CORTELYOU ROAD, BROOKLYN, NY 11226
(951) 264-7865
Mailing address
676 SHADY PL, DIAMOND BAR, CA 91765-4608
(951) 264-7865
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
057381
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04000928
—
NY
Enumeration date
03/07/2013
Last updated
04/21/2015
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