Provider Demographics
NPI:1083784821
Name:LAMB, ERIN ELIZABETH (PT, MSPT)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:ELIZABETH
Last Name:LAMB
Suffix:
Gender:F
Credentials:PT, MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:558 BLACKSTONE ST
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49423-8856
Mailing Address - Country:US
Mailing Address - Phone:616-405-2001
Mailing Address - Fax:616-355-4285
Practice Address - Street 1:11971 JAMES ST
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49424-9610
Practice Address - Country:US
Practice Address - Phone:616-345-3778
Practice Address - Fax:855-670-0383
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2020-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501010771225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5501010771OtherSTATE LICENSE NUMBER
MI650G012100OtherBCBSM
MI1083784821OtherNPI
MI5501010771OtherSTATE LICENSE NUMBER