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General NPI Number Information
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NPI Number | 1184832057
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Entity Type | Organization
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Legal Business Name | LOIS K LAMBRECHT MD PC
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 01/16/2009
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Provider Practice Location Address
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Address Line | 2401 N WALNUT ST
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City | BLOOMINGTON
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State | IN
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Zip | 47404-2069
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Country | US
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Telephone | 812-333-0922
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Fax | 812-333-0961
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Provider Business Mailing Address
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Address Line | 2401 N WALNUT ST
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City | BLOOMINGTON
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State | IN
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Zip | 47404-2069
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Country | US
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Telephone | 812-333-0922
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Fax | 812-333-0961
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Authorized Official
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Title or Position | OWNER
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Name | DR. LOIS K LAMBRECHT
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Credential | M.D.
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Telephone | 812-333-0922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 01030430A
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License Number State | IN
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