Provider Demographics
NPI:1194851865
Name:LAMB, PATRICIA L (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:L
Last Name:LAMB
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3333 SPRING ARBOR RD
Mailing Address - Street 2:SUITE 700
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49203
Mailing Address - Country:US
Mailing Address - Phone:517-787-2160
Mailing Address - Fax:517-787-2162
Practice Address - Street 1:3333 SPRING ARBOR RD
Practice Address - Street 2:SUITE 700
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49203
Practice Address - Country:US
Practice Address - Phone:517-787-2160
Practice Address - Fax:517-787-2162
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2012-05-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MIPL043805207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
1103800762OtherBCBS
200000004479OtherPHP
6M07850Medicare ID - Type Unspecified
110107106Medicare ID - Type UnspecifiedRAILROAD MEDICARE
200000004479OtherPHP