Provider Demographics
NPI:1073733960
Name:LAMBOY, ALEXIS
Entity Type:Individual
Prefix:MR
First Name:ALEXIS
Middle Name:
Last Name:LAMBOY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB EL PEDREGAL CALLE GRANITO D-23
Mailing Address - Street 2:
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683-0683
Mailing Address - Country:US
Mailing Address - Phone:787-306-9575
Mailing Address - Fax:
Practice Address - Street 1:3 CALLE ANGEL G MARTINEZ
Practice Address - Street 2:
Practice Address - City:SABANA GRANDE
Practice Address - State:PR
Practice Address - Zip Code:00637-1914
Practice Address - Country:US
Practice Address - Phone:939-910-7920
Practice Address - Fax:939-910-7921
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3086183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician