Jodee Lamp, IBCLC, MS, NUTR
Individual provider Active NPI Lactation Consultant (Non-RN) · Imperial, MO
NPI 1316488554 · NPPES record last updated Mar 20, 2017
Key facts
- NPI
- 1316488554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Lactation Consultant (Non-RN) 174N00000X
- License
- L-22310 (MO)
- Practice address
- 1624 Shane Dr
Imperial, MO 63052-4030 - Phone
- (636) 461-0001
- NPI assigned
- Mar 20, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-22310 | MO | MD | Lactation Consultant (Non-RN) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | L-22310 | MO | Yes |
Addresses
Primary practice location
1624 Shane Dr
Imperial, MO 63052-4030
Mailing address
1624 Shane Dr
Imperial, MO 63052-4030
Other providers in Imperial, MO
- Thomas Davant Johns
- Charles J Johnson
- Junction Bracing & PT
- Olivia Dawn Kernebeck
- Courtney Jean Krake
- Daniel Christopher Leach
- Debra Lever
- Emily Mack
- Bailey Macke
- Jennifer Lea McKenzie
All providers in Imperial, MO · Lactation Consultant (Non-RN) in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.