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NPI Code Detail

MEDICARE: MARY ELIZABETH LAMB NP-C

MEDICARE:   MARY ELIZABETH LAMB  NP-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
1363LF0000XFamily Nurse Practitioner24617TN

General Provider Information

NPI Number : 1649750167
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY ELIZABETH LAMB NP-C
Provider Business Mailing Address
First Line : 880 COLLOREDO BLVD
Second Line :
City : SHELBYVILLE
State : TN
Zip : 37160-2774
Country : US
Telephone Number : 731-685-8111
Fax Number : 731-685-8007
Provider Business Practice Location Address
First Line : 880 COLLOREDO BLVD
Second Line :
City : SHELBYVILLE
State : TN
Zip : 37160-2774
Country : US
Telephone Number : 731-658-8111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2018
Last Update Date : 04/25/2022

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Directions to “ MARY ELIZABETH LAMB NP-C” Practice Location

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