Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PSY-513 | HI |
Y | 103TC0700X | Clinical Psychologist | PSY-513 | HI |
NPI | 1013110766 |
---|---|
Provider Name | Dr. Robert Lambe |
First Address | Hilo, HI 96720-2964 |
Second Address | Hilo, HI 96720-2964 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2007 |
Last Update Date | 26/07/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0000081216 | HMSA QUEST PIN (01) | HI |
06117001 | (05) | HI |
8121-6 | HMSA PIN (01) | HI |