Provider Demographics
NPI:1093822769
Name:LAMBIE, DAVID S (DO)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:S
Last Name:LAMBIE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:SANFORD FLORIDA REGIONAL HOSPITAL
Mailing Address - Street 2:1401 W SEMINOLE BLVD
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-6764
Mailing Address - Country:US
Mailing Address - Phone:407-324-7720
Mailing Address - Fax:
Practice Address - Street 1:1401 W SEMINOLE BLVD
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-6743
Practice Address - Country:US
Practice Address - Phone:407-324-7720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS11824207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
010H262530OtherBLUE CROSS-BLUE CROSS
MI480009411Medicaid
DL015031OtherCOMMERCIAL-COMMERCIAL NUMBER
DL015031OtherCHAMPUS-CHAMPUS