Healthcare Provider Details

I. General information

NPI: 1023763687
Provider Name (Legal Business Name): LAMB AUDIOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2022
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2755 S BAY ST STE F
EUSTIS FL
32726-6587
US

IV. Provider business mailing address

2755 S BAY ST STE F
EUSTIS FL
32726-6587
US

V. Phone/Fax

Practice location:
  • Phone: 352-483-4327
  • Fax: 352-483-4328
Mailing address:
  • Phone: 517-290-5524
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name: DR. KIMBERLY SUE LAMB
Title or Position: CEO
Credential: AU.D.
Phone: 352-483-4327