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Individual

TYLER LAMB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3000 S JAMAICA CT STE 140, AURORA, CO 80014-4601
(303) 755-3201
Mailing address
295 ECLIPSE DR, COLORADO SPRINGS, CO 80905-4300

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
128785
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
128785
NBCRNA
TN
01
C-APN.0001824-C-CRNA
COLORADO DORA
CO
Enumeration date
01/08/2020
Last updated
01/08/2020
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