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General NPI Number Information
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NPI Number | 1376907402
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Entity Type | Individual
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Provider Name | SARA KURIAN LAMB MD
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Gender | Female
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Dates
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Enumeration Date | 04/05/2016
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 5921 RILEY PARK DR
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City | FORT SMITH
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State | AR
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Zip | 72916-6103
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Country | US
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Telephone | 479-649-3376
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Fax |
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Provider Business Mailing Address
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Address Line | 1807 CORNELL AVE
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City | RICHMOND
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State | VA
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Zip | 23226-3560
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 0101275436
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | D88975
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MD048049
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License Number State | DC
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Taxonomy #4
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | E-18027
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License Number State | AR
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Taxonomy #5
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | E-18027
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License Number State | AR
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