Healthcare Provider Details

I. General information

NPI: 1285803528
Provider Name (Legal Business Name): ERICA HOPE LAMBERT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/20/2008
Last Update Date: 11/10/2023
Certification Date: 11/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 NORTHWESTERN DR STE 305
BLOOMFIELD CT
06002-3428
US

IV. Provider business mailing address

4 RIDGEBURY RD
AVON CT
06001-3825
US

V. Phone/Fax

Practice location:
  • Phone: 959-895-9853
  • Fax:
Mailing address:
  • Phone: 917-837-9215
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number049815
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: