Provider Demographics
NPI:1255320743
Name:LAMB, NANCY W (RPH)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:W
Last Name:LAMB
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 N COUNTY ROAD 19
Mailing Address - Street 2:
Mailing Address - City:BERTHOUD
Mailing Address - State:CO
Mailing Address - Zip Code:80513-9321
Mailing Address - Country:US
Mailing Address - Phone:970-222-8380
Mailing Address - Fax:970-532-0997
Practice Address - Street 1:653 DENVER AVE
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-5128
Practice Address - Country:US
Practice Address - Phone:970-461-1975
Practice Address - Fax:970-461-4042
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO11039183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist