Provider Demographics
NPI:1760412621
Name:LAMPEN, RHONDA RENE (MD)
Entity Type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:RENE
Last Name:LAMPEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12427 BLUEBERRY LN
Mailing Address - Street 2:
Mailing Address - City:DAVISBURG
Mailing Address - State:MI
Mailing Address - Zip Code:48350-2945
Mailing Address - Country:US
Mailing Address - Phone:248-634-6643
Mailing Address - Fax:
Practice Address - Street 1:12427 BLUEBERRY LN
Practice Address - Street 2:
Practice Address - City:DAVISBURG
Practice Address - State:MI
Practice Address - Zip Code:48350-2945
Practice Address - Country:US
Practice Address - Phone:248-634-6643
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI769222084P0800X
VA01012639062084P0804X, 2084P0800X
IL0361466552084P0800X, 2084P0804X
MI43010881152084P0800X
CAC546282084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry