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Individual

RUTH LYNN LAMPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
900 E HARTFORD AVE, SUITE C, PONCA CITY, OK 74601-2011
(580) 762-1911
(580) 762-0887
Mailing address
900 E HARTFORD AVE, SUITE C, PONCA CITY, OK 74601-2011
(580) 762-1911
(580) 762-0887

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
D6093646
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200016380A
OK
01
P00106188
RAILROAD MEDICARE
OK
Enumeration date
10/04/2006
Last updated
11/15/2007
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