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Individual

DR. JON PATRICK LAMB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1200 W MAPLE AVE, GENEVA, AL 36340-1642
(334) 684-3655
(334) 684-3231
Mailing address
1521 SOPCHOPPY HWY, SOPCHOPPY, FL 32358-1023
(850) 445-9182

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
MD.33417
AL
207Q00000X
Family Medicine Physician
MD.33147
AL
207Q00000X
Family Medicine Physician
Primary
ME100212
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
281056500
FL
Enumeration date
04/04/2007
Last updated
04/29/2014
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