Provider Demographics
NPI:1811230477
Name:LAMB, LAURA LEWICKI (AUD)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:LEWICKI
Last Name:LAMB
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 WAYNE ST STE 2
Mailing Address - Street 2:
Mailing Address - City:OLEAN
Mailing Address - State:NY
Mailing Address - Zip Code:14760-2355
Mailing Address - Country:US
Mailing Address - Phone:716-790-8480
Mailing Address - Fax:716-790-8052
Practice Address - Street 1:610 WAYNE ST STE 2
Practice Address - Street 2:
Practice Address - City:OLEAN
Practice Address - State:NY
Practice Address - Zip Code:14760-2355
Practice Address - Country:US
Practice Address - Phone:716-790-8480
Practice Address - Fax:716-790-8052
Is Sole Proprietor?:No
Enumeration Date:2013-04-02
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006300231H00000X
NY002547231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist