Provider Demographics
NPI:1225448244
Name:LAMBERT, DAPHNE LEE (RN)
Entity Type:Individual
Prefix:MRS
First Name:DAPHNE
Middle Name:LEE
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 DAVIDSON RD
Mailing Address - Street 2:
Mailing Address - City:PAXTON
Mailing Address - State:MA
Mailing Address - Zip Code:01612-1550
Mailing Address - Country:US
Mailing Address - Phone:508-753-5580
Mailing Address - Fax:
Practice Address - Street 1:11 DAVIDSON RD
Practice Address - Street 2:
Practice Address - City:PAXTON
Practice Address - State:MA
Practice Address - Zip Code:01612-1550
Practice Address - Country:US
Practice Address - Phone:508-753-5580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-29
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN275964163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse