Provider Demographics
NPI:1205027141
Name:DYE, LAMONDA D (LPN)
Entity Type:Individual
Prefix:MS
First Name:LAMONDA
Middle Name:D
Last Name:DYE
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 1:2095 WOODTRAIL DR APT K
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-8616
Mailing Address - Country:US
Mailing Address - Phone:513-497-0441
Mailing Address - Fax:
Practice Address - Street 1:2095 WOODTRAIL DR APT K
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-8616
Practice Address - Country:US
Practice Address - Phone:513-497-0441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-06
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH109308164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse