Provider Demographics
NPI:1538930938
Name:LAMB, LAMESIA L
Entity type:Individual
Prefix:
First Name:LAMESIA
Middle Name:L
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 1:2628 RAILROAD AVE
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71202-3258
Mailing Address - Country:US
Mailing Address - Phone:318-789-5013
Mailing Address - Fax:
Practice Address - Street 1:2628 RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71202-3258
Practice Address - Country:US
Practice Address - Phone:318-789-5013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-15
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator