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Individual
JOHN CHAMBLISS LACAMBRA
Active
Individual
JOHN CHAMBLISS LACAMBRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00029748
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039581
LABOR & INDUSTRY
WA
01
—
3032LA
BLUE SHIELD
WA
05
—
8139024
—
WA
01
—
MD3032W
ALASKA MEDICAID
WA
Enumeration date
09/02/2006
Last updated
05/30/2012
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