Provider Demographics
NPI:1043483498
Name:LAMB, SHADEL M (LPN)
Entity Type:Individual
Prefix:MRS
First Name:SHADEL
Middle Name:M
Last Name:LAMB
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5713 CHANDLER ST
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45227-1630
Mailing Address - Country:US
Mailing Address - Phone:513-931-2207
Mailing Address - Fax:513-931-0218
Practice Address - Street 1:5713 CHANDLER ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45227-1630
Practice Address - Country:US
Practice Address - Phone:513-931-2207
Practice Address - Fax:513-931-2207
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-07
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN115186164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse