MEDICARE: DR. PHILIP H. LAMB DDS

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
1	1223G0001X	General Practice Dentistry	30.016444	OH

General Provider Information

NPI Number	:	1124165675
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHILIP H. LAMB DDS

Provider Business Mailing Address
First Line	:	2490 LEE BLVD STE 300C
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-1271
Country	:	US
Telephone Number	:	216-323-4362
Fax Number	:

Provider Business Practice Location Address
First Line	:	2490 LEE BLVD STE 300C
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-1271
Country	:	US
Telephone Number	:	216-323-4362
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2007
Last Update Date	:	11/04/2016

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