Healthcare Provider Details

I. General information

NPI: 1124192729
Provider Name (Legal Business Name): JAMES G LAMB AU.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 04/05/2024
Certification Date: 04/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

527 RIGBY LAKE DR STE C
RIGBY ID
83442-5117
US

IV. Provider business mailing address

3345 MERLIN DR STE 200
IDAHO FALLS ID
83404-7405
US

V. Phone/Fax

Practice location:
  • Phone: 208-522-6335
  • Fax: 208-522-0550
Mailing address:
  • Phone: 208-529-1514
  • Fax: 208-523-7160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAU-1620
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: