Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 26NJ00032600 | NJ |
NPI | 1992794192 |
---|---|
Provider Name | Lisa Lamberti |
First Address | Bloomfield, NJ 07003-3922 |
Second Address | Montclair, NJ 07042-4837 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P84816 | (02) |