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Paul Samuel Lamb

Student in an Organized Health Care Education/Training Program in Saint Louis, MO. Individual provider (NPI-1).

NPI number1083170518
StatusActive
Last updated in NPPESFeb 20, 2019

Details

NPI
1083170518
Entity type
Individual (NPI-1)
Name
Paul Samuel Lamb
Sex
Male
Sole proprietor
No
Enumeration date
Feb 20, 2019
Last updated
Feb 20, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes
2255A2300X Specialist/Technologist, Athletic Trainer––

Practice location

3805 Lindell Blvd Apt A
Saint Louis, MO 63108-3451

Phone 708-870-3909

Mailing address

3805 Lindell Blvd Apt A
Saint Louis, MO 63108-3451

Phone 708-870-3909

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