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NPI Code Detail

MEDICARE: DR. DUSTIN EVAN LAMB MD

MEDICARE: DR. DUSTIN EVAN LAMB MD
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
1207L00000XAnesthesiology PhysicianMD223964OR

General Provider Information

NPI Number : 1972180685
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DUSTIN EVAN LAMB MD
Provider Business Mailing Address
First Line : 1375 E 19TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80218-1114
Country : US
Telephone Number : 303-318-1585
Fax Number :
Provider Business Practice Location Address
First Line : 1375 E 19TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80218-1114
Country : US
Telephone Number : 303-812-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2021
Last Update Date : 12/16/2025

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