Healthcare Provider Details

I. General information

NPI: 1497744882
Provider Name (Legal Business Name): KATHLEEN A LAMPING MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2005
Last Update Date: 04/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 S GREEN RD SUITE 306A
SOUTH EUCLID OH
44121-4128
US

IV. Provider business mailing address

1611 S GREEN RD SUITE 306A
SOUTH EUCLID OH
44121-4128
US

V. Phone/Fax

Practice location:
  • Phone: 216-291-9770
  • Fax: 216-291-0550
Mailing address:
  • Phone: 216-291-9770
  • Fax: 216-291-0550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number35044448
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: