Individual
DR. JACQUELYN MARIE LAMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
23 WHITES PATH STE F, YARMOUTH MEDICAL CENTER, SOUTH YARMOUTH, MA 02664-1238
(508) 760-2054
(508) 760-1218
Mailing address
23 WHITES PATH STE F, YARMOUTH MEDICAL CENTER, SOUTH YARMOUTH, MA 02664-1238
(508) 760-2054
(508) 760-1218
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
59740
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005762
NHP
—
01
—
042297845
MULTI-PLAN
—
01
—
1409032
AETNA
—
01
—
2369673
CIGNA
—
01
—
29557
FALLON
—
05
—
3035450
—
MA
01
—
726827
TUFTS HEALTH CARE
—
01
—
AA72328
HARVARD PILGRIM
—
01
—
J07461
MEDICARE
—
01
—
J07461 - SS0041
BCBSMA
—
Enumeration date
08/19/2006
Last updated
12/18/2009
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