Healthcare Provider Details

I. General information

NPI: 1285520486
Provider Name (Legal Business Name): MS. AMEE LAMBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2025
Last Update Date: 06/16/2025
Certification Date: 06/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 STEVENS ST SW
GRAND RAPIDS MI
49507-1526
US

IV. Provider business mailing address

4121 LEDGESTONE DR
TROY MI
48098-4301
US

V. Phone/Fax

Practice location:
  • Phone: 616-469-3870
  • Fax:
Mailing address:
  • Phone: 248-840-4355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: