Provider Demographics
NPI:1427102359
Name:LAMPLOUGH, HENRY MARTIN (DPT)
Entity type:Individual
Prefix:DR
First Name:HENRY
Middle Name:MARTIN
Last Name:LAMPLOUGH
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5213 PIPER LN
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-5465
Mailing Address - Country:US
Mailing Address - Phone:904-251-5546
Mailing Address - Fax:
Practice Address - Street 1:5213 PIPER LN
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-5465
Practice Address - Country:US
Practice Address - Phone:904-251-5546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2018-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT20692225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPT20692OtherPT LICENSE NUMBER