Healthcare Provider Details

I. General information

NPI: 1073462479
Provider Name (Legal Business Name): COURTNEY LAMB MSN, MED, PMHNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 ORCHARD ST
MARLBOROUGH MA
01752-4326
US

IV. Provider business mailing address

31 WEST ST
MARLBOROUGH MA
01752-3123
US

V. Phone/Fax

Practice location:
  • Phone: 774-285-0312
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN2324602
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: