Provider Demographics
NPI:1114737293
Name:LAMA, NABIL V
Entity type:Individual
Prefix:
First Name:NABIL
Middle Name:V
Last Name:LAMA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 E NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:ADA
Mailing Address - State:OH
Mailing Address - Zip Code:45810-1037
Mailing Address - Country:US
Mailing Address - Phone:419-296-9768
Mailing Address - Fax:
Practice Address - Street 1:118 E NORTH AVE
Practice Address - Street 2:
Practice Address - City:ADA
Practice Address - State:OH
Practice Address - Zip Code:45810-1037
Practice Address - Country:US
Practice Address - Phone:419-296-9768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide