1326248121 NPI number — MRS. DONNA LYNN LAMPE RPH

Table of content: MRS. DONNA LYNN LAMPE RPH (NPI 1326248121)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326248121 NPI number — MRS. DONNA LYNN LAMPE RPH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LAMPE
Provider First Name:
DONNA
Provider Middle Name:
LYNN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
RPH
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
TAKES
Provider Other First Name:
DONNA
Provider Other Middle Name:
LYNN
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1326248121
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/19/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
701 10TH ST SE
Provider Second Line Business Mailing Address:
MERCY MEDICAL CENTER PHARMACY
Provider Business Mailing Address City Name:
CEDAR RAPIDS
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
52403
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
319-398-6060
Provider Business Mailing Address Fax Number:
319-398-6279

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
701 10TH ST SE
Provider Second Line Business Practice Location Address:
MERCY MEDICAL CENTER PHARMACY
Provider Business Practice Location Address City Name:
CEDAR RAPIDS
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
52403
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-398-6060
Provider Business Practice Location Address Fax Number:
319-398-6279
Provider Enumeration Date:
07/19/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  17574 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)