Individual
MRS. SHANNON FAYE LAMBERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2407 TONY KEATING ROAD, BATESVILLE, MS 38606
(662) 563-0714
(662) 563-0617
Mailing address
2407 TONY KEATING ROAD, BATESVILLE, MS 38606
(662) 563-0714
(662) 563-0617
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P128376
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770270
—
MS
Enumeration date
02/22/2007
Last updated
07/08/2007
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