Individual
NICOLE L LAMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
640 JACKSON ST, MS11102F, SAINT PAUL, MN 55101-2502
(651) 254-3456
(651) 254-5216
Mailing address
PO BOX 1309, 8170 33RD AVE S - MAIL STOP 21110Q, MINNEAPOLIS, MN 55425-4516
(651) 254-3456
(651) 254-5216
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA031025
DC
363AM0700X
Medical Physician Assistant
Primary
2492
WI
Other
Enumeration date
08/27/2009
Last updated
07/09/2015
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