Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 036102138 | IL |
Y | 207X00000X | Orthopaedic Surgeon | MD17225 | HI |
N | 207XS0106X | Orthopaedic Hand Surgeon | 036102138 | IL |
NPI | 1053420893 |
---|---|
Provider Name | Dr. Paul Matthew Lamberti |
First Address | Wailuku, HI 96793-1625 |
Second Address | Wailuku, HI 96793-1625 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2006 |
Last Update Date | 26/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036102138 | (05) | IL |
2233290 | BCBS (01) | IL |
H75090 | (02) | IL |