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Individual

JOAN LAMP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5308 LESH ST, LOUISVILLE, OH 44641-8639
(330) 428-0005
Mailing address
5308 LESH ST, LOUISVILLE, OH 44641-8639
(330) 428-0005

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
2851687
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2851687
OH
Enumeration date
11/25/2020
Last updated
11/25/2020
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