Provider Demographics
NPI:1831102367
Name:LAMPONE, DIANN KAY (RN)
Entity Type:Individual
Prefix:MS
First Name:DIANN
Middle Name:KAY
Last Name:LAMPONE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 367
Mailing Address - Street 2:
Mailing Address - City:PACIFIC PALISADES
Mailing Address - State:CA
Mailing Address - Zip Code:90272-0367
Mailing Address - Country:US
Mailing Address - Phone:310-459-6637
Mailing Address - Fax:310-459-2155
Practice Address - Street 1:984 MONUMENT ST STE 102
Practice Address - Street 2:
Practice Address - City:PACIFIC PALISADES
Practice Address - State:CA
Practice Address - Zip Code:90272-3858
Practice Address - Country:US
Practice Address - Phone:310-459-6637
Practice Address - Fax:310-459-2155
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA494073163W00000X, 163WA2000X, 163WC0400X, 163WE0003X, 163WG0000X, 163WH0200X, 163WS0121X, 163WS0200X, 163WX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered163WA2000XNursing Service ProvidersRegistered NurseAdministrator
Not Answered163WC0400XNursing Service ProvidersRegistered NurseCase Management
Not Answered163WE0003XNursing Service ProvidersRegistered NurseEmergency
Not Answered163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
Not Answered163WH0200XNursing Service ProvidersRegistered NurseHome Health
Not Answered163WS0121XNursing Service ProvidersRegistered NursePlastic Surgery
Not Answered163WS0200XNursing Service ProvidersRegistered NurseSchool
Not Answered163WX0106XNursing Service ProvidersRegistered NurseOccupational Health