Provider Demographics
NPI:1730144080
Name:LAMB, ANNE MESICK (PT, MSHCS)
Entity type:Individual
Prefix:MS
First Name:ANNE
Middle Name:MESICK
Last Name:LAMB
Suffix:
Gender:F
Credentials:PT, MSHCS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:500 CROSS ST
Mailing Address - Street 2:
Mailing Address - City:BIG STONE CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57216-8237
Mailing Address - Country:US
Mailing Address - Phone:605-541-1147
Mailing Address - Fax:605-541-0109
Practice Address - Street 1:123 W. BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:OWATONNA
Practice Address - State:MN
Practice Address - Zip Code:55060
Practice Address - Country:US
Practice Address - Phone:507-451-7888
Practice Address - Fax:507-451-3322
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN2283225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1023448OtherPREFERREDONE
MN411853663OtherTRICARE
MNHP32089OtherHEALTHPARTNERS
MNHEALTHPARTNERSOtherU CARE
MN8B454LAOtherBCBS-MN
MN069857100OtherMINNESOTA HEALTH CARE PRO
MN6400163OtherMEDICA ID
MNHEALTHPARTNERSOtherU CARE
MN8B454LAOtherBCBS-MN