Provider Demographics
NPI:1952357378
Name:LAMB, TIMOTHY (DO)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:
Last Name:LAMB
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 COUNTY ROAD 215
Mailing Address - Street 2:
Mailing Address - City:ABBEVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38601-9783
Mailing Address - Country:US
Mailing Address - Phone:662-801-3314
Mailing Address - Fax:662-232-8922
Practice Address - Street 1:416 COUNTY ROAD 215
Practice Address - Street 2:
Practice Address - City:ABBEVILLE
Practice Address - State:MS
Practice Address - Zip Code:38601-9783
Practice Address - Country:US
Practice Address - Phone:662-801-3314
Practice Address - Fax:662-232-8922
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS9831207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D00951Medicare UPIN