Doctor Name: | DR. WILLYS LYNDON LAMB |
NPI Number: | 1336113026 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | PO3150 |
Business Practice Address: | 1 Choctaw Way Talihina, OK - 745712022 |
Business Phone Number: | 9185677000 |
Business Fax Number: | 9185677138 |
Mailing Address: | 1 Choctaw Way, TALIHINA |
State: | OK |
Postal Code: | 745712022 |
Phone Number: | 9185677000 |
Fax Number: | 9185677138 |
NPI Enumeration Date: | 02/17/2006 |
NPI Last Update Date: | 07/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | PO3150 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |