Provider Demographics
NPI:1588079438
Name:MICHAILIDIS, LAMPRINOS (MD)
Entity type:Individual
Prefix:DR
First Name:LAMPRINOS
Middle Name:
Last Name:MICHAILIDIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 S 8TH ST STE 480W
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:KY
Mailing Address - Zip Code:42071-2403
Mailing Address - Country:US
Mailing Address - Phone:270-762-1787
Mailing Address - Fax:270-767-3657
Practice Address - Street 1:300 S 8TH ST STE 509E
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:KY
Practice Address - Zip Code:42071-2403
Practice Address - Country:US
Practice Address - Phone:270-759-4000
Practice Address - Fax:270-752-2857
Is Sole Proprietor?:No
Enumeration Date:2014-06-29
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY50345207RG0100X, 207RG0100X
KYR3562207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYR3562OtherMEDICAL LICENSE