Healthcare Provider Details

I. General information

NPI: 1881038180
Provider Name (Legal Business Name): GAIL C LAMB REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2013
Last Update Date: 04/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4336 NORTH BLVD STE 102
BATON ROUGE LA
70806-3920
US

IV. Provider business mailing address

4336 NORTH BLVD STE 102
BATON ROUGE LA
70806-3920
US

V. Phone/Fax

Practice location:
  • Phone: 225-343-9505
  • Fax: 225-343-9141
Mailing address:
  • Phone: 225-343-9505
  • Fax: 225-343-9141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberRN077034
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: