Healthcare Provider Details

I. General information

NPI: 1366885295
Provider Name (Legal Business Name): KRISTIN NICOLE LAMBERT PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2013
Last Update Date: 04/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17171 S GOLDEN RD
GOLDEN CO
80401-7334
US

IV. Provider business mailing address

540 VIRIDIAN DR APT 129
LAFAYETTE CO
80026-7035
US

V. Phone/Fax

Practice location:
  • Phone: 303-279-5684
  • Fax:
Mailing address:
  • Phone: 720-308-0884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number19493
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: