MEDICARE: TIMOTHY J. LAMB M.D.

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	207R00000X	Internal Medicine Physician	4301071698	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	133871383468933	OTHER	MI	PREFERRED
2	G73589	OTHER	MI	HAP
3	700F375500	OTHER	MI	BCBSM
4	7985363	OTHER	MI	CIGNA
5	700F375500	OTHER	MI	BCN
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	P00262045	OTHER	MI	UHC MC PALMETTO GBA

General Provider Information

NPI Number	:	1942279260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY J. LAMB M.D.

Provider Business Mailing Address
First Line	:	42557 WOODWARD AVE
Second Line	:	STE 110
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48304-5206
Country	:	US
Telephone Number	:	248-253-1468
Fax Number	:	248-253-1472

Provider Business Practice Location Address
First Line	:	42557 WOODWARD AVE
Second Line	:	STE 110
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48304-5206
Country	:	US
Telephone Number	:	248-253-1468
Fax Number	:	248-253-1472

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

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	06/28/2011

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Directions to “ TIMOTHY J. LAMB M.D.” Practice Location

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