Healthcare Provider Details

I. General information

NPI: 1467364786
Provider Name (Legal Business Name): BENJAMIN LOUIS LAMBRECHT FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 IRIS DR
STERLING CO
80751-4716
US

IV. Provider business mailing address

76827 WCR 76
MERINO CO
80741
US

V. Phone/Fax

Practice location:
  • Phone: 970-522-7266
  • Fax:
Mailing address:
  • Phone: 970-522-7266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1002466
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: