Provider Demographics
NPI:1124192729
Name:LAMB, JAMES G (AUD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:G
Last Name:LAMB
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3345 MERLIN DR STE 200
Mailing Address - Street 2:
Mailing Address - City:IDAHO FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83404-7405
Mailing Address - Country:US
Mailing Address - Phone:208-529-1514
Mailing Address - Fax:208-523-7160
Practice Address - Street 1:527 RIGBY LAKE DR STE C
Practice Address - Street 2:
Practice Address - City:RIGBY
Practice Address - State:ID
Practice Address - Zip Code:83442-5117
Practice Address - Country:US
Practice Address - Phone:208-522-6335
Practice Address - Fax:208-522-0550
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDAU-1620231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist