Healthcare Provider Details

I. General information

NPI: 1124274352
Provider Name (Legal Business Name): ASHLEY AUSTINA LAMB R.P.A.-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2008
Last Update Date: 02/26/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 ESSJAY RD
WILLIAMSVILLE NY
14221-5782
US

IV. Provider business mailing address

425 ESSJAY RD STE 170
WILLIAMSVILLE NY
14221-8235
US

V. Phone/Fax

Practice location:
  • Phone: 716-630-1140
  • Fax: 716-250-5959
Mailing address:
  • Phone: 716-630-1219
  • Fax: 716-817-1726

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number012609
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: