Individual
MRS. AUDRA ROSE LAMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
143 PEARSALL AVE, FREEPORT, NY 11520-2618
(516) 223-2278
Mailing address
143 PEARSALL AVE, FREEPORT, NY 11520-2618
(516) 223-2278
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
834937
NY
Other
Enumeration date
01/02/2014
Last updated
01/02/2014
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