Individual
MR. TRENT ROBERT LAMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4901 E JOHNSON AVE, JONESBORO, AR 72401
(870) 936-8000
(870) 934-3659
Mailing address
PO BOX 1960, JONESBORO, AR 72403-1960
(870) 936-8000
(870) 934-3659
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-0989
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130111001
—
AR
01
—
5K198
INDIVIDUAL BCBS #
AR
Enumeration date
06/16/2005
Last updated
09/07/2018
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