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NPI Code Detail

MEDICARE: MR. DELYNN T LAMB MSW, LCSW

MEDICARE: MR. DELYNN T LAMB MSW, LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker137072-3501UT

General Provider Information

NPI Number : 1093031395
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DELYNN T LAMB MSW, LCSW
Provider Business Mailing Address
First Line : 6484 N 2300 W
Second Line :
City : CEDAR CITY
State : UT
Zip : 84721-7102
Country : US
Telephone Number : 435-590-4153
Fax Number : 435-867-4893
Provider Business Practice Location Address
First Line : 6484 N 2300 W
Second Line :
City : CEDAR CITY
State : UT
Zip : 84721-7102
Country : US
Telephone Number : 435-867-4876
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2010
Last Update Date : 04/12/2010

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