Healthcare Provider Details

I. General information

NPI: 1831113950
Provider Name (Legal Business Name): NICHOLAS C LAMBROU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2003 MEDICAL PKWY STE 100
ANNAPOLIS MD
21401-3076
US

IV. Provider business mailing address

2003 MEDICAL PKWY STE 100
ANNAPOLIS MD
21401-3076
US

V. Phone/Fax

Practice location:
  • Phone: 443-481-3493
  • Fax:
Mailing address:
  • Phone: 443-481-3493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License NumberME81107
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: