MEDICARE: DR. MEGUMI LAMBETH DDS

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
1	1223G0001X	General Practice Dentistry	9064	NC

General Provider Information

NPI Number	:	1497987242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEGUMI LAMBETH DDS

Provider Business Mailing Address
First Line	:	3608 UNIVERSITY DR
Second Line	:	SUITE 104
City	:	DURHAM
State	:	NC
Zip	:	27707-6260
Country	:	US
Telephone Number	:	919-688-4100
Fax Number	:

Provider Business Practice Location Address
First Line	:	3608 UNIVERSITY DR
Second Line	:	SUITE 104
City	:	DURHAM
State	:	NC
Zip	:	27707-6260
Country	:	US
Telephone Number	:	919-688-4100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2009
Last Update Date	:	04/20/2012

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