Doctor Name: | ALVINITA LAMEBULL |
NPI Number: | 1508172511 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MT |
License Number: | |
Business Practice Address: | Black Coal Rd Bldg 29 Fort Washakie, WY - 825140128 |
Business Phone Number: | 1307857928 |
Business Fax Number: | 3078572898 |
Mailing Address: | Building 29 Black Coal Road, FORT WASHAKIE |
State: | WY |
Postal Code: | 825140128 |
Phone Number: | 1307857928 |
Fax Number: | 3078572898 |
NPI Enumeration Date: | 08/27/2010 |
NPI Last Update Date: | 08/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246QM0706X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Spec/Tech, Pathology |
Taxonomy Specialization: | Medical Technologist |
Taxonomy Definition: |