Healthcare Provider Details

I. General information

NPI: 1699880112
Provider Name (Legal Business Name): MARIE N FIDELIA-LAMBERT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 12/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2041 GEORGIA AVE NW
WASHINGTON DC
20060-0001
US

IV. Provider business mailing address

2024 GEORGIA AVENUE, NW 2ND FLOOR
WASHINGTON DC
20001-3027
US

V. Phone/Fax

Practice location:
  • Phone: 202-806-6306
  • Fax: 202-806-7022
Mailing address:
  • Phone: 202-865-6679
  • Fax: 202-865-1617

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberMD21036
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: