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NPI Code Detail

MEDICARE: JAMES RAY LAMB NP

MEDICARE: JAMES RAY 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
1363L00000XNurse PractitionerRN093041AZ

General Provider Information

NPI Number : 1710996434
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES RAY LAMB NP
Provider Business Mailing Address
First Line : PO BOX 10097
Second Line :
City : CASA GRANDE
State : AZ
Zip : 85130-0020
Country : US
Telephone Number : 520-836-3446
Fax Number : 520-836-8807
Provider Business Practice Location Address
First Line : 865 N ARIZOLA RD
Second Line :
City : CASA GRANDE
State : AZ
Zip : 85122-6011
Country : US
Telephone Number : 520-381-3446
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 07/21/2022

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