Provider Demographics
NPI:1134900723
Name:LAMB, KATHY
Entity type:Individual
Prefix:
First Name:KATHY
Middle Name:
Last Name:LAMB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KATHLEEN
Other - Middle Name:P
Other - Last Name:LAMB
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5679 STERLING LAKES CIR APT 104
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-7071
Mailing Address - Country:US
Mailing Address - Phone:513-310-3301
Mailing Address - Fax:
Practice Address - Street 1:5679 STERLING LAKES CIR APT 104
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-7071
Practice Address - Country:US
Practice Address - Phone:513-310-3301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care