Provider Demographics
NPI:1083601595
Name:LAMBIOTTE, PATRICIA P (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:P
Last Name:LAMBIOTTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 HOSPITAL AVE
Mailing Address - Street 2:
Mailing Address - City:DU BOIS
Mailing Address - State:PA
Mailing Address - Zip Code:15801-1440
Mailing Address - Country:US
Mailing Address - Phone:814-849-2312
Mailing Address - Fax:
Practice Address - Street 1:100 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:BROOKVILLE
Practice Address - State:PA
Practice Address - Zip Code:15825-1367
Practice Address - Country:US
Practice Address - Phone:814-849-2312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-29
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD054539L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAW3037OtherHEALTHAMERICA
PA0000783419OtherBLUE SHIELD INDIVIDUAL #
PAP001461OtherGATEWAY
PAW3032OtherHEALTHEON
PA010153300OtherBLACK LUNG
PA08189187OtherRAILROAD MEDICARE
PA217746OtherUPMC HEALTHCARE
PA0015300660008Medicaid
PA88980OtherMEDPLUS
PAP001461OtherGATEWAY
PA88980OtherMEDPLUS