Individual
LISA LAMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 MARYLAND AVE, MCCOMB, MS 39648-3926
(601) 250-4815
Mailing address
1205 BERKSHIRE CT, MONTGOMERY, AL 36109-1644
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2452
AL
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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