Individual
SHANNON MICHELLE LAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2323 WINDISH DR, GALESBURG, IL 61401-9780
(309) 344-2323
(309) 344-4281
Mailing address
151 N PLEASANT AVE, GALESBURG, IL 61401-3328
(309) 344-4751
(309) 344-5755
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041-335835
IL
163WP0808X
Psychiatric/Mental Health Registered Nurse
041-335835
IL
171M00000X
Case Manager/Care Coordinator
041-335835
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041-335835
D.P.R.
IL
01
—
370984175
FIN BWAY ORG
IL
Enumeration date
03/27/2007
Last updated
04/14/2009
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