Healthcare Provider Details

I. General information

NPI: 1467838870
Provider Name (Legal Business Name): ELIZABETH MARIE LAMBE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2015
Last Update Date: 11/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 YORK ST
NEW HAVEN CT
06510-3220
US

IV. Provider business mailing address

28 TOWNWOODS RD
IVORYTON CT
06442-1271
US

V. Phone/Fax

Practice location:
  • Phone: 203-699-4242
  • Fax:
Mailing address:
  • Phone: 860-638-8229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License Number6228
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: