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NPI Code Detail

MEDICARE: LAMBERT LEE AUD

MEDICARE: LAMBERT LEE AUD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1231H00000XAudiologist002970NY

General Provider Information

NPI Number : 1114530961
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAMBERT LEE AUD
Provider Business Mailing Address
First Line : 13835 39TH AVE APT 12C
Second Line :
City : FLUSHING
State : NY
Zip : 11354-5799
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 139 CENTRE ST STE 803
Second Line :
City : NEW YORK
State : NY
Zip : 10013-4558
Country : US
Telephone Number : 212-406-1968
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2020
Last Update Date : 08/30/2020

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