Individual
RUSSELL LAMPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
230 MICHIGAN ST NE, SUITE 230, GRAND RAPIDS, MI 49503-2550
(616) 774-2822
(616) 391-8665
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
(616) 774-2822
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
5101015004
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110D148350
BCBSM
MI
05
—
115206545
—
MI
01
—
1236530
CIGNA
MI
01
—
7233871
AETNA
MI
Enumeration date
11/29/2005
Last updated
03/02/2021
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