Individual
MR. RAYMOND LEROY LAMB III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
PO BOX 1337, GALLUP, NM 87305-1337
(505) 722-1000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305210374
VA
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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