Individual
JACKLYN ANN LAMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCP
Contact information
Practice address
14603 HUEBNER RD STE 28101, SAN ANTONIO, TX 78230-5497
(210) 614-7074
(210) 614-7075
Mailing address
14603 HUEBNER RD STE 28101, SAN ANTONIO, TX 78230-5497
(210) 614-7074
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
FPF02000114
TX
Other
Enumeration date
03/12/2020
Last updated
03/31/2020
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