Basic Information
| Provider Information | |||||||||
| NPI: | 1821719071 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | LAMPRON | ||||||||
| FirstName: | JOLENA | ||||||||
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| Credential: | M.S., OTR | ||||||||
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| Mailing Information | |||||||||
| Address1: | 440 OLD NORTH BERWICK RD | ||||||||
| Address2: | |||||||||
| City: | LYMAN | ||||||||
| State: | ME | ||||||||
| PostalCode: | 040026020 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2075902392 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5833 HARBOUR VIEW BLVD | ||||||||
| Address2: | |||||||||
| City: | SUFFOLK | ||||||||
| State: | VA | ||||||||
| PostalCode: | 234353760 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7574555000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/07/2022 | ||||||||
| LastUpdateDate: | 09/07/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/07/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.