Individual
JEREMY BRANDON LAMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2318 SE 44TH ST, NEWCASTLE, OK 73065-4702
(450) 387-9323
Mailing address
1409 JAXON CT, YUKON, OK 73099-7713
(405) 473-2035
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1870
OK
Other
Enumeration date
01/20/2010
Last updated
04/08/2014
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