Provider Demographics
NPI:1811663610
Name:LAMB, HELEN BRODDE
Entity type:Individual
Prefix:MISS
First Name:HELEN
Middle Name:BRODDE
Last Name:LAMB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 EDNAM PL
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-4634
Mailing Address - Country:US
Mailing Address - Phone:434-960-6505
Mailing Address - Fax:
Practice Address - Street 1:107 EDNAM PL
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-4634
Practice Address - Country:US
Practice Address - Phone:434-960-6505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-20
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program