MEDICARE: DR. CHRISTOPHER R LAMB DMD

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	1223G0001X	General Practice Dentistry	D7770	AZ
2	1223P0221X	Pediatric Dentistry	DEN00202015	CO
3	1223P0221X	Pediatric Dentistry	S6-126C	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154558815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER R LAMB DMD

Provider Business Mailing Address
First Line	:	7171 W CRAIG RD STE 101
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-6018
Country	:	US
Telephone Number	:	702-655-0331
Fax Number	:

Provider Business Practice Location Address
First Line	:	7171 W CRAIG RD STE 101
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-6018
Country	:	US
Telephone Number	:	702-655-0331
Fax Number	:

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

Provider Enumeration Date	:	06/19/2009
Last Update Date	:	03/06/2014

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