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NPI Code Detail

MEDICARE: ELLEN LAMM

MEDICARE: ELLEN LAMM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorC.1400254OH
2101YA0400XAddiction (Substance Use Disorder) Counselor161424OH

General Provider Information

NPI Number : 1811406770
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLEN LAMM
Provider Business Mailing Address
First Line : 621 S ERIE HWY
Second Line :
City : HAMILTON
State : OH
Zip : 45011-4315
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 621 S ERIE HWY
Second Line :
City : HAMILTON
State : OH
Zip : 45011-4315
Country : US
Telephone Number : 513-869-0046
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2017
Last Update Date : 09/23/2017

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Directions to “ ELLEN LAMM ” Practice Location

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