Provider Demographics
NPI:1659541480
Name:LAMB, DONNA LAWSON
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:LAWSON
Last Name:LAMB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 OLD THOMSON RD
Mailing Address - Street 2:
Mailing Address - City:APPLING
Mailing Address - State:GA
Mailing Address - Zip Code:30802-1908
Mailing Address - Country:US
Mailing Address - Phone:706-726-3096
Mailing Address - Fax:
Practice Address - Street 1:2901 OLD THOMSON RD
Practice Address - Street 2:
Practice Address - City:APPLING
Practice Address - State:GA
Practice Address - Zip Code:30802-1908
Practice Address - Country:US
Practice Address - Phone:706-726-3096
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-07
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT000399225X00000X
SC3211225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist