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Individual

JOEL ALLEN LAMBOTTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
4235 N SAINT JAMES PL, BEL AIRE, KS 67226-1404
(316) 259-1516
Mailing address
4235 N SAINT JAMES PL, BEL AIRE, KS 67226-1404
(316) 259-1516

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1501666
KS
363A00000X
Physician Assistant
8414359-1206
UT
363A00000X
Physician Assistant
C05249
MD

Other

Enumeration date
08/31/2012
Last updated
01/08/2014
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