Provider Demographics
NPI:1386412575
Name:LAMB, DIANNA KAYE (RN)
Entity type:Individual
Prefix:
First Name:DIANNA
Middle Name:KAYE
Last Name:LAMB
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17250 GALWAY RUN CT
Mailing Address - Street 2:
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34135-9059
Mailing Address - Country:US
Mailing Address - Phone:509-885-4808
Mailing Address - Fax:
Practice Address - Street 1:17250 GALWAY RUN CT
Practice Address - Street 2:
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34135-9059
Practice Address - Country:US
Practice Address - Phone:509-885-4808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9447562163WH1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH1000XNursing Service ProvidersRegistered NurseHospice