MEDICARE: RUTH LYNN LAMPE ARNP

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	363LF0000X	Family Nurse Practitioner	D6093646	OK

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00106188	OTHER	OK	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699860601
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUTH LYNN LAMPE ARNP

Provider Business Mailing Address
First Line	:	900 E HARTFORD AVE
Second Line	:	SUITE C
City	:	PONCA CITY
State	:	OK
Zip	:	74601-2011
Country	:	US
Telephone Number	:	580-762-1911
Fax Number	:	580-762-0887

Provider Business Practice Location Address
First Line	:	900 E HARTFORD AVE
Second Line	:	SUITE C
City	:	PONCA CITY
State	:	OK
Zip	:	74601-2011
Country	:	US
Telephone Number	:	580-762-1911
Fax Number	:	580-762-0887

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

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	11/15/2007

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