Healthcare Provider Details

I. General information

NPI: 1750948485
Provider Name (Legal Business Name): MORGAN NICOLE LAMBERT CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2019
Last Update Date: 05/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12080 BELLAIRE WAY
THORNTON CO
80241-3600
US

IV. Provider business mailing address

4411 S 176TH ST
OMAHA NE
68135-3604
US

V. Phone/Fax

Practice location:
  • Phone: 303-450-2700
  • Fax:
Mailing address:
  • Phone: 402-981-4839
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: