MEDICARE: MELISSA LAMBERT

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	163W00000X	Registered Nurse	761977	NY

General Provider Information

NPI Number	:	1548803786
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA LAMBERT

Provider Business Mailing Address
First Line	:	14202 20TH AVE
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11351-3000
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2729 BUTLER ST
Second Line	:
City	:	EAST ELMHURST
State	:	NY
Zip	:	11369-1927
Country	:	US
Telephone Number	:	718-478-1397
Fax Number	:

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

Provider Enumeration Date	:	10/21/2019
Last Update Date	:	10/21/2019

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Directions to “ MELISSA LAMBERT ” Practice Location

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