Provider Demographics
NPI:1023066271
Name:LAMP, ABBY A (CNM)
Entity type:Individual
Prefix:
First Name:ABBY
Middle Name:A
Last Name:LAMP
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2200 JEFFERSON AVE
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-7101
Mailing Address - Country:US
Mailing Address - Phone:419-251-2673
Mailing Address - Fax:419-251-0916
Practice Address - Street 1:3840 WOODLEY RD
Practice Address - Street 2:SUITE B
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-1175
Practice Address - Country:US
Practice Address - Phone:419-475-0001
Practice Address - Fax:419-475-2356
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHNM-07277367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2401663Medicaid
OH2401663Medicaid
OHLANM02702Medicare ID - Type Unspecified