Provider Demographics
NPI:1578816013
Name:SAVANNAH LAMB INC
Entity Type:Organization
Organization Name:SAVANNAH LAMB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAVANNAH
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:LAMB
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:828-702-2555
Mailing Address - Street 1:66 DUNKIRK RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2242
Mailing Address - Country:US
Mailing Address - Phone:817-702-2555
Mailing Address - Fax:
Practice Address - Street 1:115 RIVER HILLS RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-2550
Practice Address - Country:US
Practice Address - Phone:828-702-2555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-22
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2288152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty