Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 71011967A | IN |
NPI | 1053079368 |
---|---|
Provider Name | Emily Ryan Lamb |
First Address | Louisville, KY 40215-2326 |
Second Address | Corydon, IN 47112-1774 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/12/2021 |
Last Update Date | 03/12/2021 |