Provider Demographics
NPI:1265306070
Name:LAMENDOLA, JAIME LYNN (RN)
Entity type:Individual
Prefix:
First Name:JAIME
Middle Name:LYNN
Last Name:LAMENDOLA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:101 N MAIN ST APT 1
Mailing Address - Street 2:
Mailing Address - City:SCOTTVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49454-1170
Mailing Address - Country:US
Mailing Address - Phone:231-425-3223
Mailing Address - Fax:
Practice Address - Street 1:215 N JEBAVY DR
Practice Address - Street 2:
Practice Address - City:LUDINGTON
Practice Address - State:MI
Practice Address - Zip Code:49431-1921
Practice Address - Country:US
Practice Address - Phone:231-425-3223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-03
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704343639163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)