person
Julie A Lampley-douglass, PA-C
Medical Physician Assistant in Mount Vernon, Illinois
NPI 1831394782

Julie A Lampley-douglass is a Medical Physician Assistant based in Mount Vernon, IL and is specialized in Medical. Julie A Lampley-douglass practices in Mount Vernon, IL and has the professional credentials of PA-C. The NPI Number for Julie A Lampley-douglass is 1831394782 and holds a License No. 085002864 (Illinois).

The current practice location address for Julie A Lampley-douglass is 4105 N Water Tower Pl, Mount Vernon, IL and can be reached out via phone at 618-246-2910 and via fax at 618-246-2912.

Location: 4105 N Water Tower Pl, Mount Vernon, IL, 62864-6296
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Provider Profile Details
NPI Number
1831394782
Provider Name
Julie A Lampley-douglass
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
4105 N Water Tower Pl, Mount Vernon, IL, 62864-6296
Phone Number
618-246-2910
Fax Number
618-246-2912
Provider Enumeration Date
06/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7210895 01 IL AETNA GROUP NUMBER
3932056 01 IL BCBS GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
4105 N Water Tower Pl
City
State
Zip
62864-6296
Phone Number
618-246-2910
Fax Number
618-246-2912
person
Provider Business Mailing Address Details
Address
4105 N Water Tower Pl
City
State
Zip
62864-6296
Phone Number
618-246-2910
Fax Number
618-246-2912
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
085-002864 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
085002864 (Illinois)
Definition
Definition to come...
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