MEDICARE: HEATHER H LAMB PA-C

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	363A00000X	Physician Assistant	1066424	TX
2	363A00000X	Physician Assistant	002304	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8N8807	OTHER	TX	BC/BS

General Provider Information

NPI Number	:	1174510838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER H LAMB PA-C

Provider Business Mailing Address
First Line	:	621 S ILLINOIS AVE
Second Line	:	SUITE 103
City	:	MASON CITY
State	:	IA
Zip	:	50401-5489
Country	:	US
Telephone Number	:	641-428-3059
Fax Number	:	641-428-2080

Provider Business Practice Location Address
First Line	:	1421 4TH ST SW
Second Line	:
City	:	MASON CITY
State	:	IA
Zip	:	50401-2856
Country	:	US
Telephone Number	:	641-428-2080
Fax Number	:	641-428-5150

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

Provider Enumeration Date	:	09/28/2005
Last Update Date	:	07/15/2025

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Directions to “ HEATHER H LAMB PA-C” Practice Location

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