Provider Demographics
NPI:1093367658
Name:PITTER-LAMBERT, ALTHEA T
Entity Type:Individual
Prefix:
First Name:ALTHEA
Middle Name:T
Last Name:PITTER-LAMBERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7540 OMNI LN APT 303
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33905-5468
Mailing Address - Country:US
Mailing Address - Phone:347-522-8122
Mailing Address - Fax:
Practice Address - Street 1:7540 OMNI LN APT 303
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33905-5468
Practice Address - Country:US
Practice Address - Phone:347-522-8122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-14
Last Update Date:2019-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty