Provider Demographics
NPI:1053478669
Name:LAMBORN, HOWARD III (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:
Last Name:LAMBORN
Suffix:III
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3914 BALVERNE CT
Mailing Address - Street 2:
Mailing Address - City:ANTELOPE
Mailing Address - State:CA
Mailing Address - Zip Code:95843-5237
Mailing Address - Country:US
Mailing Address - Phone:916-722-1428
Mailing Address - Fax:916-722-1428
Practice Address - Street 1:3914 BALVERNE CT
Practice Address - Street 2:
Practice Address - City:ANTELOPE
Practice Address - State:CA
Practice Address - Zip Code:95843-5237
Practice Address - Country:US
Practice Address - Phone:916-722-1428
Practice Address - Fax:916-722-1428
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30388183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist