# ALLAN D. LAMB, D.O., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215125398
- **Authorized official:** DR. ALLAN DANA LAMB D.O. (PRESIDENT)
- **Authorized official phone:** (734) 676-4996

## Contact information

- **Practice address:** 3851 WEST RD, SUITE 3, TRENTON, MI 48183-2350
- **Practice address phone:** (734) 676-4996
- **Practice address fax:** (734) 676-4407
- **Mailing address:** 3851 WEST RD, SUITE 3, TRENTON, MI 48183-2350
- **Mailing address phone:** (734) 676-4996
- **Mailing address fax:** (734) 676-4407

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | AL012651 | MI | Yes |

## Other

- **Enumeration date:** 10/14/2007
- **Last updated:** 10/14/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 02-5-82-0708-5 | BCBS | — |
| 01 | — | 15643 | M-CARE | — |
| 05 | — | 4230850 | — | MI |
| 01 | — | 5820708 | BCN PIN | — |