Provider Demographics
NPI:1396916367
Name:LAMP, DONNA SUE (RN BSN)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:SUE
Last Name:LAMP
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:MS
Other - First Name:DONNA
Other - Middle Name:SUE
Other - Last Name:HITCHCOCK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN BSN
Mailing Address - Street 1:68 MARNE DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055
Mailing Address - Country:US
Mailing Address - Phone:740-763-0295
Mailing Address - Fax:
Practice Address - Street 1:68 MARNE DR
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055
Practice Address - Country:US
Practice Address - Phone:740-763-0295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-18
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN214047163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health