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NPI 1235336579

NPI 1235336579 : ROBERT B LAMB, PHD,PC : MARQUETTE, MI

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General NPI Number Information
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    NPI Number           |    1235336579
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROBERT B LAMB, PHD,PC 
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Dates
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    Enumeration Date     |    06/29/2007
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    Last Update Date     |    03/09/2016
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Provider Practice Location Address
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    Address Line         |    1018 N 3RD ST 
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    City                 |    MARQUETTE
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    State                |    MI
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    Zip                  |    49855-3510
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    Country              |    US
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    Telephone            |    906-228-8327
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    Fax                  |    906-228-8135
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Provider Business Mailing Address
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    Address Line         |    1018 N 3RD ST 
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    City                 |    MARQUETTE
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    State                |    MI
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    Zip                  |    49855-3510
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    Country              |    US
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    Telephone            |    906-228-8327
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    Fax                  |    906-228-8135
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |    DR. ROBERT B LAMB 
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    Credential           |    PHD
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    Telephone            |    907-228-8327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    6301000797
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    License Number State |    MI
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