Provider Demographics
NPI:1407141542
Name:LAMB, JOYCE B (RN)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:B
Last Name:LAMB
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13039 231ST ST
Mailing Address - Street 2:
Mailing Address - City:LAURELTON
Mailing Address - State:NY
Mailing Address - Zip Code:11413-1825
Mailing Address - Country:US
Mailing Address - Phone:718-926-1055
Mailing Address - Fax:
Practice Address - Street 1:13039 231ST ST
Practice Address - Street 2:
Practice Address - City:LAURELTON
Practice Address - State:NY
Practice Address - Zip Code:11413-1825
Practice Address - Country:US
Practice Address - Phone:718-525-0745
Practice Address - Fax:718-525-0745
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-16
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY675060163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty