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JUSTIN A LAMB
2001 WOODRUFF SUITE 17 IDAHO FALLS ID 834046372
JUSTIN A LAMB is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1417915430. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 2668473315. The primary specialty is DIAGNOSTIC RADIOLOGY. The organization is TETON RADIOLOGY DIAGNOSTIC, LLC. The address is 2001 WOODRUFF, SUITE 17, IDAHO FALLS, ID, 834046372. The zip code is 834046372.
|Nation Provider ID||1417915430|
|PAC ID by PECOS||2668473315|
|Professional Enrollment ID||I20080421000152|
|Name||JUSTIN A LAMB|
|Medical School Name||OTHER|
|Primary Specialty||DIAGNOSTIC RADIOLOGY|
|All secondary specialties|
|Organization Name||TETON RADIOLOGY DIAGNOSTIC, LLC|
|Group Practice PAC ID||1254436959|
|Number of Group Practice members||22|
|Address||2001 WOODRUFF, SUITE 17, IDAHO FALLS, ID, 834046372|
|Hospital affiliation LBN||MADISON CO MEMORIAL HOSPITAL|