Healthcare Provider Details

I. General information

NPI: 1437948056
Provider Name (Legal Business Name): TYLER STEVEN LAMB M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2025
Last Update Date: 05/01/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 PARKDALE AVENUE THE OTTAWA HOSPITAL CIVIC CAMPUS
OTTAWA ON
K1Y4E9
CA

IV. Provider business mailing address

55 SOUTHPARK DRIVE
OTTAWA ON
K1B3B8
CA

V. Phone/Fax

Practice location:
  • Phone: 613-798-5555
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number115423
License Number StateZZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: