Individual
KELLI MARIE LAMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 RIVERPLACE BLVD, SUITE 620, JACKSONVILLE, FL 32207-9046
(904) 396-6620
(904) 396-6528
Mailing address
1 SHIRCLIFF WAY, JACKSONVILLE, FL 32204
(904) 308-3960
(904) 308-3533
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9106878
FL
Other
Enumeration date
12/20/2012
Last updated
10/17/2024
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