MEDICARE: MARY LAMBDIN CNS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133N00000X	Nutritionist	CNS19227

General Provider Information

NPI Number	:	1659227486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY LAMBDIN CNS

Provider Business Mailing Address
First Line	:	2326 KING ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-4520
Country	:	US
Telephone Number	:	315-567-2146
Fax Number	:

Provider Business Practice Location Address
First Line	:	3333 S WADSWORTH BLVD STE 160
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80227-5122
Country	:	US
Telephone Number	:	720-722-1143
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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