Healthcare Provider Details

I. General information

NPI: 1922911122
Provider Name (Legal Business Name): JOANNE MICHELLE LAMPE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6589 N CHESTNUT ST
RAVENNA OH
44266-3907
US

IV. Provider business mailing address

2951 WATERLOO RD
MOGADORE OH
44260-9472
US

V. Phone/Fax

Practice location:
  • Phone: 330-296-3844
  • Fax: 330-296-1855
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number303056
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: