Doctor Name: | KRISTINE LAMB |
NPI Number: | 1124297999 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SI 1484 |
Business Practice Address: | 3008 Country River Dr Parrish, FL - 342199180 |
Business Phone Number: | 9413024829 |
Business Fax Number: | |
Mailing Address: | 8827 Manor Loop, #107 LAKEWOOD RANCH |
State: | FL |
Postal Code: | 342023818 |
Phone Number: | 6095770266 |
Fax Number: | |
NPI Enumeration Date: | 02/26/2008 |
NPI Last Update Date: | 02/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | SI 1484 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |