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Individual

JACKSON FORREST LAMB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
42ND AND EMILE STREET, OMAHA, NE 68198-0001
(402) 559-4000
Mailing address
4214 DAVENPORT ST, OMAHA, NE 68131-2242
(641) 221-0911

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3041
NE

Other

Enumeration date
07/14/2022
Last updated
01/24/2024
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