Provider Demographics
NPI:1548367923
Name:LAMB, JOSEPH JULIAN (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:JULIAN
Last Name:LAMB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9770 44TH AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98332-8808
Mailing Address - Country:US
Mailing Address - Phone:253-853-7233
Mailing Address - Fax:253-851-3923
Practice Address - Street 1:9770 44TH AVE STE 102
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98332-8808
Practice Address - Country:US
Practice Address - Phone:253-853-7233
Practice Address - Fax:253-853-7233
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00046667207R00000X
TN52015207R00000X
VAVA 0101044019207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ011535Medicaid
KY7100331620Medicaid
TN5359131OtherBCBST
E22147Medicare UPIN
TNQ011535Medicaid
TN5359131OtherBCBST
TN10311I2386Medicare PIN