Provider Demographics
NPI:1780681650
Name:LAMB, KATHLEEN (MD)
Entity Type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:
Last Name:LAMB
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1100 WASHINGTON AVE
Mailing Address - Street 2:STE 215
Mailing Address - City:CARNEGIE
Mailing Address - State:PA
Mailing Address - Zip Code:15106-3616
Mailing Address - Country:US
Mailing Address - Phone:412-278-5100
Mailing Address - Fax:412-278-5105
Practice Address - Street 1:4721 MCKNIGHT RD
Practice Address - Street 2:STE 209N
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-3415
Practice Address - Country:US
Practice Address - Phone:412-366-5550
Practice Address - Fax:412-366-7044
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD024293-E208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0009659350001Medicaid
PA0009659350001Medicaid