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Individual

DR. SHANNON S LAMB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
700 N BURKHARDT RD, EVANSVILLE, IN 47715-2740
(812) 474-1110
(812) 471-9282
Mailing address
PO BOX 2368, INDIANAPOLIS, IN 46206-2368
(812) 474-1110
(812) 474-1303

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
01033374
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100319830
IN
05
3300262019
IL
01
360003672
RR MEDICARE TA
05
64756281
KY
Enumeration date
04/07/2006
Last updated
06/01/2015
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