Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 06328 | OH |
NPI | 1073511986 |
---|---|
Provider Name | Judith Kilmer Lamp |
First Address | Toledo, OH 43606-3895 |
Second Address | Toledo, OH 43606-3895 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2005 |
Last Update Date | 10/06/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000246729 | ANTHEM (01) | OH |
05225 | PARAMOUNT (01) | OH |
2233256 | (05) | OH |
27886 | (02) | OH |
344428256 | BEECH STREET (01) | CA |
344428256 | HEALTH NET (01) | OH |
344428256084 | CARESOURCE (01) | OH |
420001260 | OHIO RAILROAD MEDICARE (01) | OH |
4287066 | MI MEDICAID (01) | MI |