Healthcare Provider Details

I. General information

NPI: 1346455177
Provider Name (Legal Business Name): SHARON LEMBERGER N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PARK ST
NORWALK CT
06851-4841
US

IV. Provider business mailing address

55 ROCKLEDGE DR
STAMFORD CT
06902-8122
US

V. Phone/Fax

Practice location:
  • Phone: 203-838-4481
  • Fax:
Mailing address:
  • Phone: 203-569-7344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number003387
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: