Provider Demographics
NPI:1801194246
Name:SHADEL LAMB & ASSOCIATES LLC
Entity Type:Organization
Organization Name:SHADEL LAMB & ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHADEL
Authorized Official - Middle Name:MARKISE
Authorized Official - Last Name:LAMB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-546-5595
Mailing Address - Street 1:2823 QUEENSWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211-8309
Mailing Address - Country:US
Mailing Address - Phone:513-546-5595
Mailing Address - Fax:513-931-2207
Practice Address - Street 1:4820 RIDGE AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45209-1033
Practice Address - Country:US
Practice Address - Phone:513-546-5595
Practice Address - Fax:513-931-2207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-09
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN115186-MEDS261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care