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Individual

LESA ANN LAMB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1445 BLUEWATER WAY, CHARLESTON, SC 29414-7923
(843) 576-9667
Mailing address
1515 AQUABELLE LN UNIT 6303, CHARLESTON, SC 29414-8185
(512) 784-5331

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
104117
TX
225X00000X
Occupational Therapist
Primary
4629
SC
225XH1200X
Hand Occupational Therapist
3747
AZ
225XP0200X
Pediatric Occupational Therapist
104117
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
021286201
TX
05
021286202
TX
01
8T6895
BLUE CROSS
TX
Enumeration date
10/03/2006
Last updated
04/01/2026
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