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General NPI Number Information
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NPI Number | 1528153046
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Entity Type | Individual
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Provider Name | LESA LAMB
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 919 WEST 28 1/2 STREET
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City | AUSTIN
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State | TX
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Zip | 78705
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Country | US
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Telephone | 512-478-2581
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Fax | 512-476-1638
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Provider Business Mailing Address
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Address Line | 6218 TASAJILLO TRL
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City | AUSTIN
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State | TX
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Zip | 78739-1413
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Country | US
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Telephone | 512-784-5331
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 104117
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | 3747
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 104117
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License Number State | TX
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