Healthcare Provider Details

I. General information

NPI: 1164903415
Provider Name (Legal Business Name): ELIZABETH MORGAN LAMBERSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ELIZABETH MORGAN MORRIS

II. Dates (important events)

Enumeration Date: 08/24/2018
Last Update Date: 08/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2460 CURTIS ELLIS DR
ROCKY MOUNT NC
27804-2237
US

IV. Provider business mailing address

131 TIMBERLANE DR
LITTLETON NC
27850-8072
US

V. Phone/Fax

Practice location:
  • Phone: 252-962-6633
  • Fax:
Mailing address:
  • Phone: 252-676-4775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number119006
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: