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NPI Code Detail

MEDICARE: KAYNA RENE LAMB M.A. CCC-SLP IBCLC

MEDICARE:   KAYNA RENE LAMB  M.A. CCC-SLP IBCLC
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
1235Z00000XSpeech-Language Pathologist27441CA

General Provider Information

NPI Number : 1164370508
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYNA RENE LAMB M.A. CCC-SLP IBCLC
Provider Business Mailing Address
First Line : 4732 MUIR AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92107-2218
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7290 NAVAJO RD STE 103
Second Line :
City : SAN DIEGO
State : CA
Zip : 92119-1631
Country : US
Telephone Number : 858-848-9917
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2026
Last Update Date : 03/20/2026

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Directions to “ KAYNA RENE LAMB M.A. CCC-SLP IBCLC” Practice Location

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