Individual
LISA SHAW LAMBETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTAL
Contact information
Practice address
611 COBLE AVE, ALBEMARLE, NC 28001-5511
(704) 322-5569
Mailing address
611 COBLE AVE, ALBEMARLE, NC 28001-5511
(704) 322-5569
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
644
NC
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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