Healthcare Provider Details

I. General information

NPI: 1457437683
Provider Name (Legal Business Name): DRS LUBITZ & LAMPING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11438 LEBANON RD SUITE F
CINCINNATI OH
45241
US

IV. Provider business mailing address

11438 LEBANON RD SUITE F
CINCINNATI OH
45241
US

V. Phone/Fax

Practice location:
  • Phone: 513-769-5545
  • Fax: 513-769-3528
Mailing address:
  • Phone: 513-769-5545
  • Fax: 513-769-3528

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number30017606
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number30014392
License Number StateOH

VIII. Authorized Official

Name: MRS. ROBIN L MINEER
Title or Position: OFFICE MANAGER
Credential:
Phone: 513-769-5545