NPI | 1306132881 |
---|---|
Former Name | KELLY NICOLE LAMBRIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 61216) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 7695) |
207Q00000X Family Medicine (Licence: CO DR.0054489) | |
Enumeration Date | 2011-06-23 |
Last Update Date | 2023-10-05 |