Provider Demographics
NPI:1245341288
Name:LAMB, DAVID JAMES (DC)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:JAMES
Last Name:LAMB
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:97 DOBBINS ST STE B
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95688-2700
Mailing Address - Country:US
Mailing Address - Phone:707-447-9885
Mailing Address - Fax:707-447-7372
Practice Address - Street 1:97 DOBBINS ST STE B
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95688-2700
Practice Address - Country:US
Practice Address - Phone:707-447-9885
Practice Address - Fax:707-447-7372
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20276111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA680241012OtherTAX ID
CADC0202760Medicare PIN
CA680241012OtherTAX ID