Provider Demographics
NPI:1811020357
Name:LAMB, LEIGH A (AUD, CCC-A)
Entity Type:Individual
Prefix:DR
First Name:LEIGH
Middle Name:A
Last Name:LAMB
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 LOUDON RD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:TN
Mailing Address - Zip Code:37846-3420
Mailing Address - Country:US
Mailing Address - Phone:865-458-6658
Mailing Address - Fax:
Practice Address - Street 1:3096 ROANE STATE HWY
Practice Address - Street 2:
Practice Address - City:HARRIMAN
Practice Address - State:TN
Practice Address - Zip Code:37748-7781
Practice Address - Country:US
Practice Address - Phone:865-882-3700
Practice Address - Fax:865-882-7734
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNA119231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist