Basic Information
Provider Information
NPI: 1841267036
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LAMPLEY
FirstName: VICKI
MiddleName: T
NamePrefix: DR.
NameSuffix:  
Credential: MD,MPH
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1122 NE 13TH ST
Address2: ORI236
City: OKLAHOMA CITY
State: OK
PostalCode: 731171039
CountryCode: US
TelephoneNumber: 4052711515
FaxNumber:  
Practice Location
Address1: 825 NE 10TH ST
Address2: OUPB4300
City: OKLAHOMA CITY
State: OK
PostalCode: 731045417
CountryCode: US
TelephoneNumber: 4052713050
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/07/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X17655OKX Allopathic & Osteopathic PhysiciansInternal Medicine 
207RG0300X17655OKX Allopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine

No ID Information.


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