Individual
DEREK H LAMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
3501 N SCOTTSDALE RD STE 226, SCOTTSDALE, AZ 85251-5630
(480) 941-5005
(480) 946-0268
Mailing address
3501 N SCOTTSDALE RD STE 226, SCOTTSDALE, AZ 85251-5630
(480) 941-5005
(480) 946-0268
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
07855
AZ
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
11990
MN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
43835
AZ
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
51977
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33826700
—
WI
05
—
832965600
—
MN
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
01
—
P00813445
RAILROAD MEDICARE
MN
Enumeration date
02/10/2006
Last updated
04/30/2013
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