1982818662 NPI number — MRS. LATOYA SHUNTA MCGEE-LAMB QBHP

Table of content: MRS. LATOYA SHUNTA MCGEE-LAMB QBHP (NPI 1982818662)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982818662 NPI number — MRS. LATOYA SHUNTA MCGEE-LAMB QBHP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCGEE-LAMB
Provider First Name:
LATOYA
Provider Middle Name:
SHUNTA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
QBHP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MCGEE-WILLIAMS
Provider Other First Name:
LATOYA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1982818662
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/11/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 251970
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LITTLE ROCK
Provider Business Mailing Address State Name:
AR
Provider Business Mailing Address Postal Code:
72225-1970
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
501-666-8686
Provider Business Mailing Address Fax Number:
501-660-6830

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1521 MERRILL DRIVE
Provider Second Line Business Practice Location Address:
SUITE D220
Provider Business Practice Location Address City Name:
LITTLE ROCK
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72211-1654
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
501-660-6893
Provider Business Practice Location Address Fax Number:
501-954-7798
Provider Enumeration Date:
05/10/2007

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: 171M00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2024 www.npivalidator.com