1932726320 NPI number — DR. COURTNEY LAMB MD

Table of content: DR. COURTNEY LAMB MD (NPI 1932726320)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932726320 NPI number — DR. COURTNEY LAMB MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LAMB
Provider First Name:
COURTNEY
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932726320
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/21/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
WBAMC
Provider Second Line Business Mailing Address:
5005 N. PIEDRAS STREET, ATTN: GME/TRANSITION PROGRAM
Provider Business Mailing Address City Name:
EL PASO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
79920
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
915-742-2597
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
SGT KIM MEDICAL CLINIC
Provider Second Line Business Practice Location Address:
6370 11TH STREET
Provider Business Practice Location Address City Name:
CAMP HUMPHREYS
Provider Business Practice Location Address State Name:
AS
Provider Business Practice Location Address Postal Code:
17977
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-809-7453
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/01/2020

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  010127365. , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com