Provider Demographics
NPI:1083868699
Name:S H LAMBDIN MD PLLC
Entity Type:Organization
Organization Name:S H LAMBDIN MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:H
Authorized Official - Last Name:LAMBDIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:662-453-0646
Mailing Address - Street 1:202 W PARK AVE
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:38930-3009
Mailing Address - Country:US
Mailing Address - Phone:662-453-0646
Mailing Address - Fax:662-455-6842
Practice Address - Street 1:202 W PARK AVE
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:MS
Practice Address - Zip Code:38930-3009
Practice Address - Country:US
Practice Address - Phone:662-453-0646
Practice Address - Fax:662-455-6842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-10
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS07585174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty