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Individual

JOB LAMBETH HAMMOND IV

Active
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Individual

JOB LAMBETH HAMMOND IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
7035
NC
367500000X
Certified Registered Nurse Anesthetist
RN102466
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1124079
LA
01
430074757
RAILROAD MEDICARE
Enumeration date
08/26/2005
Last updated
08/23/2023
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