Provider Demographics
NPI:1053077685
Name:STOP IN CLINIC LLC
Entity Type:Organization
Organization Name:STOP IN CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMBERT
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:812-345-6865
Mailing Address - Street 1:PO BOX 144
Mailing Address - Street 2:
Mailing Address - City:MONROVIA
Mailing Address - State:IN
Mailing Address - Zip Code:46157-0144
Mailing Address - Country:US
Mailing Address - Phone:812-345-6865
Mailing Address - Fax:
Practice Address - Street 1:253 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MONROVIA
Practice Address - State:IN
Practice Address - Zip Code:46157-9567
Practice Address - Country:US
Practice Address - Phone:812-345-6865
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-09
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care