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NPI Code Detail

MEDICARE: KRYSTAL LYNN LAMB NP

MEDICARE: KRYSTAL LYNN LAMB NP
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
1363LF0000XFamily Nurse Practitioner27060TN

General Provider Information

NPI Number : 1255961751
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRYSTAL LYNN LAMB NP
Provider Business Mailing Address
First Line : 756 COSBY HWY
Second Line :
City : NEWPORT
State : TN
Zip : 37821-3455
Country : US
Telephone Number : 423-200-3225
Fax Number : 423-200-3226
Provider Business Practice Location Address
First Line : 756 COSBY HWY
Second Line :
City : NEWPORT
State : TN
Zip : 37821-3455
Country : US
Telephone Number : 423-237-6546
Fax Number : 423-237-6579
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2020
Last Update Date : 05/07/2026

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