Provider Demographics
NPI:1396749248
Name:LAMPL, BARRY A (DO)
Entity type:Individual
Prefix:
First Name:BARRY
Middle Name:A
Last Name:LAMPL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24400 HIGHPOINT RD STE 1
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-6027
Mailing Address - Country:US
Mailing Address - Phone:216-831-6577
Mailing Address - Fax:
Practice Address - Street 1:24400 HIGHPOINT RD STE 1
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-6027
Practice Address - Country:US
Practice Address - Phone:216-831-6577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-09
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34002716L207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0380467Medicaid
OHLA0473447Medicare ID - Type UnspecifiedPROVIDER NUMBER
OHLA0848092Medicare ID - Type UnspecifiedPROVIDER NUMBER
OHLA0473448Medicare ID - Type UnspecifiedPROVIDER NUMBER
OHLA0473449Medicare ID - Type UnspecifiedPROVIDER NUMBER
OHLA0473441Medicare ID - Type Unspecified
OHLA0848093Medicare ID - Type UnspecifiedPROVIDER NUMBER
OHLA0848091Medicare ID - Type UnspecifiedPROVIDER NUMBER
OH0380467Medicaid