1548272909 NPI number — DR. MILENA D. LAMBIE, D.O., P.C.

Table of content: (NPI 1548272909)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548272909 NPI number — DR. MILENA D. LAMBIE, D.O., P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DR. MILENA D. LAMBIE, D.O., P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
M. DIANA LAMBIE, D.O.
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548272909
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/04/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
27750 MIDDLEBELT RD
Provider Second Line Business Mailing Address:
SUITE 150
Provider Business Mailing Address City Name:
FARMINGTON HILLS
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48334-5005
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
248-476-4000
Provider Business Mailing Address Fax Number:
248-477-7490

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
27750 MIDDLEBELT RD
Provider Second Line Business Practice Location Address:
SUITE 150
Provider Business Practice Location Address City Name:
FARMINGTON HILLS
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48334-5005
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-476-4000
Provider Business Practice Location Address Fax Number:
248-477-7490
Provider Enumeration Date:
08/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
LAMBIE
Authorized Official First Name:
MILENA
Authorized Official Middle Name:
DIANA
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
248-476-4000

Provider Taxonomy Codes

  • Taxonomy code: 208200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 4930689 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com