Lamport, Dustin
Lamport, Dustin is an sole proprietor health care provider with primary practice located at 9129 Cross Park Dr Ste 100 , Knoxville TN 37923-4505. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Lamport, Dustin can be contacted via phone (865) 983-1899.Contact Information
Primary practice address
9129 Cross Park Dr Ste 100
Knoxville TN 37923-4505
Phone: (865) 983-1899
Fax: (658) 297-4240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | P3339 | Tennessee |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 6301015949 | Michigan |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | P3339 | Tennessee |
Profile Details
| NPI number | 1457768871 |
|---|---|
| LBN Legal business name | Lamport, Dustin |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2014 |
| Last updated | Sep 16th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457768871 | NPPES |
| Tennessee | MEDICAID | Q025600 |
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