Provider Demographics
NPI:1093886814
Name:LAMB, LINA PENIKAS (PT)
Entity Type:Individual
Prefix:MRS
First Name:LINA
Middle Name:PENIKAS
Last Name:LAMB
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:LINA
Other - Middle Name:MARIA
Other - Last Name:PENIKAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:143 LONGWATER DR
Mailing Address - Street 2:
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-1683
Mailing Address - Country:US
Mailing Address - Phone:781-878-5200
Mailing Address - Fax:
Practice Address - Street 1:2 POND PARK RD
Practice Address - Street 2:
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-4347
Practice Address - Country:US
Practice Address - Phone:781-624-2542
Practice Address - Fax:781-741-6219
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA166632251X0800X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic