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NPI Code Detail

MEDICARE: DR. ISAIAH LAMB PSYD

MEDICARE: DR. ISAIAH LAMB PSYD
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
1390200000XStudent in an Organized Health Care Education/Training ProgramPSYA200001303DC

General Provider Information

NPI Number : 1477273803
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ISAIAH LAMB PSYD
Provider Business Mailing Address
First Line : 7400 METRO BLVD STE 227
Second Line :
City : EDINA
State : MN
Zip : 55439-2470
Country : US
Telephone Number : 612-712-5244
Fax Number :
Provider Business Practice Location Address
First Line : 7400 METRO BLVD STE 227
Second Line :
City : EDINA
State : MN
Zip : 55439-2470
Country : US
Telephone Number : 612-712-5244
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2022
Last Update Date : 08/18/2025

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