MEDICARE: MRS. LINA PENIKAS LAMB P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	16663	MA
2	225100000X	Physical Therapist	16663	MA

General Provider Information

NPI Number	:	1093886814
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LINA PENIKAS LAMB P.T.

Provider Business Mailing Address
First Line	:	143 LONGWATER DR
Second Line	:
City	:	NORWELL
State	:	MA
Zip	:	02061-1683
Country	:	US
Telephone Number	:	781-878-5200
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 POND PARK RD
Second Line	:
City	:	HINGHAM
State	:	MA
Zip	:	02043-4347
Country	:	US
Telephone Number	:	781-624-2542
Fax Number	:	781-741-6219

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	01/19/2021

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