1649298613 NPI number — MELISSA K LAMMI LPCC

Table of content: MELISSA K LAMMI LPCC (NPI 1649298613)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649298613 NPI number — MELISSA K LAMMI LPCC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LAMMI
Provider First Name:
MELISSA
Provider Middle Name:
K
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LPCC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649298613
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
30800 CHAGRIN BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CLEVELAND
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44124-5925
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
216-591-0324
Provider Business Mailing Address Fax Number:
216-591-1243

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
30800 CHAGRIN BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CLEVELAND
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44124-5925
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
216-591-0324
Provider Business Practice Location Address Fax Number:
216-591-1243
Provider Enumeration Date:
07/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  E.3564 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000000206406 . This is a "ANTHEM BLUE CROSS PIN" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".




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