Healthcare Provider Details

I. General information

NPI: 1265207237
Provider Name (Legal Business Name): MRS. KARMA LAMB
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2023
Last Update Date: 01/31/2024
Certification Date: 01/31/2024
Deactivation Date: 11/22/2023
Reactivation Date: 01/17/2024

III. Provider practice location address

108 NICKLAND DR
SCOTT LA
70583-5653
US

IV. Provider business mailing address

108 NICKLAND DR
SCOTT LA
70583-5653
US

V. Phone/Fax

Practice location:
  • Phone: 337-852-0266
  • Fax:
Mailing address:
  • Phone: 337-852-0266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: