Provider Demographics
NPI:1477568251
Name:LAMPE, GLORINE EVELYN (MS, EMT)
Entity Type:Individual
Prefix:MS
First Name:GLORINE
Middle Name:EVELYN
Last Name:LAMPE
Suffix:
Gender:F
Credentials:MS, EMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11521 GRAVOIS RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63126-3611
Mailing Address - Country:US
Mailing Address - Phone:314-406-8283
Mailing Address - Fax:314-842-2467
Practice Address - Street 1:11521 GRAVOIS RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63126-3611
Practice Address - Country:US
Practice Address - Phone:314-406-8283
Practice Address - Fax:314-842-2467
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-30
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist