Individual
SAMANTHA KAY LAMKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2907 WILLIAMSON COUNTY PKWY, MARION, IL 62959-5256
(618) 998-9894
Mailing address
470 E PARK ST, DU QUOIN, IL 62832-2220
(618) 314-0673
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
160.004840
IL
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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