Provider Demographics
NPI:1114028461
Name:LAMB, KARAN P (PSYD)
Entity Type:Individual
Prefix:DR
First Name:KARAN
Middle Name:P
Last Name:LAMB
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2909 BUSCH LAKE BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-1860
Mailing Address - Country:US
Mailing Address - Phone:813-321-7800
Mailing Address - Fax:
Practice Address - Street 1:2909 BUSCH LAKE BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-1860
Practice Address - Country:US
Practice Address - Phone:813-321-7800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2016-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04092103TC0700X
FLPY8922103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD572LM925Medicare ID - Type Unspecified