Basic Information
| Provider Information | |||||||||
| NPI: | 1275967911 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LAMB | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | D.P.T | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 357279 | ||||||||
| Address2: | |||||||||
| City: | GAINESVILLE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 326357279 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3522241962 | ||||||||
| FaxNumber: | 3522241965 | ||||||||
| Practice Location | |||||||||
| Address1: | 8990 NAVARRE PKWY | ||||||||
| Address2: | SUITE C | ||||||||
| City: | NAVARRE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 325662157 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8509391233 | ||||||||
| FaxNumber: | 8509395097 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/29/2013 | ||||||||
| LastUpdateDate: | 11/19/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT27500 | FL | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.