Provider Demographics
NPI:1730148644
Name:LAMB, MARY PARKS (MD)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:PARKS
Last Name:LAMB
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3323 WASHINGTON RD STE 100
Mailing Address - Street 2:
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-6408
Mailing Address - Country:US
Mailing Address - Phone:724-969-5262
Mailing Address - Fax:724-821-9700
Practice Address - Street 1:3323 WASHINGTON RD STE 100
Practice Address - Street 2:
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-6408
Practice Address - Country:US
Practice Address - Phone:724-969-5262
Practice Address - Fax:724-821-9700
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-20
Last Update Date:2019-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD062991L207P00000X
PAMD062291L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
000974412OtherHIGHMARK
103132OtherUPMC
103132OtherUPMC