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Contact Information

JACOB W LAMB, DPM
3505 COLLEGE AVE STE B
ALTON, IL62002
 Phone: 618-462-9695
 Fax: 618-462-9651
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JACOB W LAMB · (Male)

NPI Number 1699794206
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/18/2006
Last updated 04/10/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 016005235
  • MO License # 2004017476
  • IL Medicaid 016005235
  • MO Medicaid 301122503
Hospital affiliation(s)
  • ALTON MEMORIAL HOSPITAL - (Acute Care)
    ONE MEMORIAL DRIVE
    ALTON, IL 62002
  • DES PERES HOSPITAL - (Acute Care)
    2345 DOUGHERTY FERRY ROAD
    SAINT LOUIS, MO 63122
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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