Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 1966 | ME |
Y | 207Q00000X | Family Doctor | 1966 | ME |
NPI | 1427165695 |
---|---|
Provider Name | Gail E Lamb |
First Address | Harmony, ME 04942-0009 |
Second Address | Skowhegan, ME 04976 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2006 |
Last Update Date | 11/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000709502 | PTAN (01) | ME |
432680299 | (05) | ME |