Individual
MADISON KAELIN LAMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
113 BALBOA DR, ROCKWOOD, TN 37854-4651
(865) 384-9443
Mailing address
113 BALBOA DR, ROCKWOOD, TN 37854-4651
(865) 384-9443
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
93520
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
93520
STATE OF TENNESSEE DEPARTMENT OF HEALTH
TN
Enumeration date
08/24/2021
Last updated
08/24/2021
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