Healthcare Provider Details

I. General information

NPI: 1841776671
Provider Name (Legal Business Name): RAICHELL LAMBERT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2018
Last Update Date: 09/30/2024
Certification Date: 09/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 MARTIN LUTHER KING DR E
CINCINNATI OH
45219-2581
US

IV. Provider business mailing address

10101 HAMILTON AVE
CINCINNATI OH
45231-2101
US

V. Phone/Fax

Practice location:
  • Phone: 513-475-5300
  • Fax:
Mailing address:
  • Phone: 513-546-1758
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number398847
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163WA0400X
TaxonomyAddiction (Substance Use Disorder) Registered Nurse
License Number398847
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: