Lampley-Douglass, Julie A

Lampley-Douglass, Julie A is an individual health care provider with primary practice located at 4105 N Water Tower Pl , Mount Vernon IL 62864-6296. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Lampley-Douglass, Julie A can be contacted via phone (618) 246-2910.

Contact Information

Primary practice address
4105 N Water Tower Pl Mount Vernon IL 62864-6296
Phone: (618) 246-2910
Fax: (618) 246-2912
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085002864 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085-002864 Illinois

Profile Details

NPI number 1831394782
LBN Legal business name Lampley-Douglass, Julie A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2007
Last updated May 10th, 2019 - about 7 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 1831394782 NPPES
Illinois Other 7210895 AETNA GROUP NUMBER
Illinois Other 3932056 AETNA GROUP NUMBER

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