Individual
THOMAS DANIEL LAMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
8293 JORDAN ST, SAN DIEGO, CA 92123-2016
(864) 323-3552
Mailing address
8293 JORDAN ST, SAN DIEGO, CA 92123-2016
(864) 323-3552
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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