Individual
MR. GREGORY LEE LAMP SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS CCCA
Contact information
Practice address
716 SOUTH MAIN, GROVE, OK 74344-6597
(918) 786-5544
(918) 786-5710
Mailing address
PO BOX 6597, 716 SOUTH MAIN, GROVE, OK 74344-6597
(918) 786-5544
(918) 786-5710
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
161
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100666250D
—
OK
05
—
100810190A
—
OK
Enumeration date
06/07/2006
Last updated
05/20/2014
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