Individual
DR. KENNETH CECIL LAMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
122 CALISTOGA RD # 399, SANTA ROSA, CA 95409-3702
(707) 525-3777
(707) 538-8307
Mailing address
122 CALISTOGA RD # 399, SANTA ROSA, CA 95409-3702
(707) 525-3777
(707) 538-8307
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
G27121
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G271210
—
CA
Enumeration date
09/26/2006
Last updated
07/09/2007
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