Provider Demographics
NPI:1437359874
Name:DAVID, ASHLEY LAMM (OD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:LAMM
Last Name:DAVID
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:ASHLEY
Other - Middle Name:LAMM
Other - Last Name:DAVID
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:3542A LOOP 306
Mailing Address - Street 2:
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76904-5944
Mailing Address - Country:US
Mailing Address - Phone:325-653-0118
Mailing Address - Fax:325-653-4347
Practice Address - Street 1:3542A LOOP 306
Practice Address - Street 2:
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76904-5944
Practice Address - Country:US
Practice Address - Phone:325-653-0118
Practice Address - Fax:325-653-4347
Is Sole Proprietor?:No
Enumeration Date:2007-07-24
Last Update Date:2019-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7070T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB148964Medicare UPIN