Individual
JOB LAMBETH HAMMOND IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
211 4TH ST, ALEXANDRIA, LA 71301-8421
(318) 448-4440
(318) 473-4340
Mailing address
211 4TH ST, BOX 30135, ALEXANDRIA, LA 71301-8421
(318) 448-4440
(318) 473-4340
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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