MEDICARE: MRS. LINDA MARLENE LAMSON RNC, LNHA

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
1	163WG0600X	Gerontology Registered Nurse	RN156292	OH
2	171W00000X	Contractor	5112	OH
3	376G00000X	Nursing Home Administrator	5112	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5112	OTHER	OH	LICENSED NURSING HOME ADM
2	RN156292	OTHER	OH	REGISTERED NURSE

General Provider Information

NPI Number	:	1841299351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LINDA MARLENE LAMSON RNC, LNHA

Provider Business Mailing Address
First Line	:	4076 STATE ROUTE 546
Second Line	:
City	:	LEXINGTON
State	:	OH
Zip	:	44904-9769
Country	:	US
Telephone Number	:	419-610-3652
Fax Number	:	419-884-8805

Provider Business Practice Location Address
First Line	:	4076 STATE ROUTE 546
Second Line	:
City	:	LEXINGTON
State	:	OH
Zip	:	44904-9769
Country	:	US
Telephone Number	:	419-610-3652
Fax Number	:	419-884-8805

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	09/11/2025

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