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Individual

HAL DWAYNE LAMB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA, MS

Contact information

Practice address
1001 GAUSE BLVD, SLIDELL, LA 70458-2939
(985) 280-2200
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP03259
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050069749
RR MEDICARE #
05
1540323
LA
Enumeration date
04/13/2006
Last updated
12/13/2022
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