Liezl Lampa, DDS, MPH

Primary specialty

DentistTaxonomy code 122300000X

License

057381 Issued in NY

Practice address

2020 Cortelyou Road
Brooklyn, NY 11226

Phone

(951) 264-7865

NPI assigned

Mar 7, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1275874794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 SHADY PL",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654608",
            "telephone_number": "951-264-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 CORTELYOU ROAD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11226",
            "telephone_number": "951-264-7865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMPA",
        "first_name": "LIEZL",
        "credential": "DDS, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-07",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "057381",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04000928",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Joseph Lamontagne, D.C.
• Marlene Lamothe, LPN
• Josette Lamotte
• Rearden-Rose Lamour, RN
• Erica Michelle Lamoureux, LCSW
• John Charles Lampen, MA, LP-MFT, BCABA
• Michael Allen Lampert, MD
• Lajos Lamperth, MD
• Robert Lampke, M.D.
• Anabelle Lampon Velez, PHD

• Dentist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.