Lamack, Kimberly A

Lamack, Kimberly A is an individual health care provider with primary practice located at 201 N Mayfair Road , Wauwatosa WI 53226-4216. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Lamack, Kimberly A can be contacted via phone (414) 771-8228.

Contact Information

Primary practice address
201 N Mayfair Road Wauwatosa WI 53226-4216
Phone: (414) 771-8228
Fax: (414) 256-2483
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 102571 Minnesota
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 49002 Minnesota
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 48723 Wisconsin

Profile Details

NPI number 1679531958
LBN Legal business name Lamack, Kimberly A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Mar 12th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679531958 NPPES
Minnesota MEDICAID 590060000
Minnesota MEDICAID 35320400
Minnesota Other P00388222
Minnesota MEDICAID ENROLLED

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