Healthcare Provider Details

I. General information

NPI: 1801816905
Provider Name (Legal Business Name): ANDREW S. LAMB M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 03/26/2020
Certification Date: 03/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1007 SUMMIT AVE
GREENSBORO NC
27405-7007
US

IV. Provider business mailing address

30 W MONROE ST STE 1200
CHICAGO IL
60603-2420
US

V. Phone/Fax

Practice location:
  • Phone: 336-200-7010
  • Fax: 704-710-8592
Mailing address:
  • Phone: 312-733-9730
  • Fax: 773-866-8014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35404
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: