Provider Demographics
NPI:1073955423
Name:LAMB, KIMBERLY SUE (AUD)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:SUE
Last Name:LAMB
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2755 S BAY ST STE F
Mailing Address - Street 2:
Mailing Address - City:EUSTIS
Mailing Address - State:FL
Mailing Address - Zip Code:32726-6587
Mailing Address - Country:US
Mailing Address - Phone:352-483-4327
Mailing Address - Fax:
Practice Address - Street 1:2755 S BAY ST STE F
Practice Address - Street 2:
Practice Address - City:EUSTIS
Practice Address - State:FL
Practice Address - Zip Code:32726-6587
Practice Address - Country:US
Practice Address - Phone:352-483-4327
Practice Address - Fax:352-483-4328
Is Sole Proprietor?:No
Enumeration Date:2013-07-26
Last Update Date:2022-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAUD004031231H00000X
MI1601000650231H00000X
FLAY2121231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist