Individual
LISA M STAMPKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
PG226167
OR
390200000X
Student in an Organized Health Care Education/Training Program
PG215480
OR
Other
Enumeration date
04/07/2023
Last updated
07/23/2025
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