Doctor Name: | DELLA LAMBERT |
NPI Number: | 1902172679 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 4704211266 |
Business Practice Address: | 11904 Huntington Dr Frederic, MI - 497339530 |
Business Phone Number: | 2314873590 |
Business Fax Number: | |
Mailing Address: | 11904 Huntington Dr, FREDERIC |
State: | MI |
Postal Code: | 497339530 |
Phone Number: | 2314873590 |
Fax Number: | |
NPI Enumeration Date: | 03/28/2012 |
NPI Last Update Date: | 02/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 4704211266 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |