Healthcare Provider Details

I. General information

NPI: 1649808049
Provider Name (Legal Business Name): RACHEL MEREDITH LAMBRIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2020
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12502 WILLOWBROOK RD STE 400
CUMBERLAND MD
21502-6567
US

IV. Provider business mailing address

12501 WILLOWBROOK RD FL 3
CUMBERLAND MD
21502-2506
US

V. Phone/Fax

Practice location:
  • Phone: 240-964-8717
  • Fax: 240-964-8720
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberC08037
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: