Provider Demographics
NPI:1871309922
Name:LAMKIN, ANGELA MONIQUE
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:MONIQUE
Last Name:LAMKIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4611 E LOOP 1604 N APT 11209
Mailing Address - Street 2:
Mailing Address - City:CONVERSE
Mailing Address - State:TX
Mailing Address - Zip Code:78109-0499
Mailing Address - Country:US
Mailing Address - Phone:210-417-3482
Mailing Address - Fax:
Practice Address - Street 1:4611 E LOOP 1604 N APT 11209
Practice Address - Street 2:
Practice Address - City:CONVERSE
Practice Address - State:TX
Practice Address - Zip Code:78109-0499
Practice Address - Country:US
Practice Address - Phone:210-417-3482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-04
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst