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General NPI Number Information
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NPI Number | 1447982830
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Entity Type | Individual
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Provider Name | ASHLEY LOUISE LAMB FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/26/2022
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 116 MILL ST
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City | FENTON
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State | MI
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Zip | 48430-2851
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Country | US
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Telephone | 810-701-8088
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Fax |
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Provider Business Mailing Address
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Address Line | 6450 JOHNSON RD
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City | FLUSHING
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State | MI
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Zip | 48433-1138
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Country | US
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Telephone | 248-736-0265
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4704362807
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License Number State | MI
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