Healthcare Provider Details

I. General information

NPI: 1083838668
Provider Name (Legal Business Name): CAROL TROY LAMBERTI R.N. N.N.P
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3020 CHILDRENS WAY
SAN DIEGO CA
92123-4223
US

IV. Provider business mailing address

1896 W MONTECITO WAY
SAN DIEGO CA
92103-1230
US

V. Phone/Fax

Practice location:
  • Phone: 858-576-1700
  • Fax:
Mailing address:
  • Phone: 619-358-9825
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number357483
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: