Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 6228 | CT |
NPI | 1467838870 |
---|---|
Provider Name | Elizabeth Marie Lambe |
First Address | Ivoryton, CT 06442-1271 |
Second Address | New Haven, CT 06510-3220 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2015 |
Last Update Date | 16/11/2015 |