Provider Demographics
NPI:1326248121
Name:LAMPE, DONNA LYNN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:LYNN
Last Name:LAMPE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:LYNN
Other - Last Name:TAKES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:701 10TH ST SE
Mailing Address - Street 2:MERCY MEDICAL CENTER PHARMACY
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52403
Mailing Address - Country:US
Mailing Address - Phone:319-398-6060
Mailing Address - Fax:319-398-6279
Practice Address - Street 1:701 10TH ST SE
Practice Address - Street 2:MERCY MEDICAL CENTER PHARMACY
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52403
Practice Address - Country:US
Practice Address - Phone:319-398-6060
Practice Address - Fax:319-398-6279
Is Sole Proprietor?:No
Enumeration Date:2007-07-19
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA17574183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist