Provider Demographics
NPI:1730144080
Name:LAMB, ANNE MESICK (PT, MSHCS)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:MESICK
Last Name:LAMB
Suffix:
Gender:F
Credentials:PT, MSHCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1006 PRAIRIE LN NE
Mailing Address - Street 2:
Mailing Address - City:OWATONNA
Mailing Address - State:MN
Mailing Address - Zip Code:55060-1977
Mailing Address - Country:US
Mailing Address - Phone:507-451-3860
Mailing Address - Fax:507-451-3322
Practice Address - Street 1:123 W. BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:OWATONNA
Practice Address - State:MN
Practice Address - Zip Code:55060
Practice Address - Country:US
Practice Address - Phone:507-451-7888
Practice Address - Fax:507-451-3322
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2283225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN8B454LAOtherBCBS-MN
MNHP32089OtherHEALTHPARTNERS
MN6400163OtherMEDICA ID
MNHEALTHPARTNERSOtherU CARE
MN1023448OtherPREFERREDONE
MN069857100OtherMINNESOTA HEALTH CARE PRO
MN411853663OtherTRICARE
MNHEALTHPARTNERSOtherU CARE
MN8B454LAOtherBCBS-MN