Basic Information
| Provider Information | |||||||||
| NPI: | 1336349315 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LAMPTEY | ||||||||
| FirstName: | PHILIP | ||||||||
| MiddleName: | ODARTEI | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 60447 | ||||||||
| Address2: | |||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282600447 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3367187080 | ||||||||
| FaxNumber: | 3367189622 | ||||||||
| Practice Location | |||||||||
| Address1: | 3333 SILAS CREEK PKWY | ||||||||
| Address2: | |||||||||
| City: | WINSTON SALEM | ||||||||
| State: | NC | ||||||||
| PostalCode: | 271033013 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3367187080 | ||||||||
| FaxNumber: | 3367189622 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/19/2007 | ||||||||
| LastUpdateDate: | 07/06/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208M00000X | 062380 | GA | N | Allopathic & Osteopathic Physicians | Hospitalist | 207R00000X | 35.097672 | OH | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | 35.097672 | OH | N | Allopathic & Osteopathic Physicians | Hospitalist | 208M00000X | 201501893 | NC | N | Allopathic & Osteopathic Physicians | Hospitalist | 207R00000X | 201501893 | NC | Y | Allopathic & Osteopathic Physicians | Internal Medicine | 208000000X | 201501893 | NC | N | Allopathic & Osteopathic Physicians | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | 0053633 | 05 | OH | MEDICAID |