Provider Demographics
NPI:1235108838
Name:LAMBROU, LAMBROS R (DC)
Entity Type:Individual
Prefix:DR
First Name:LAMBROS
Middle Name:R
Last Name:LAMBROU
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:ROBERT
Other - Middle Name:L
Other - Last Name:LAMBROU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:728 BENNETTS MILLS RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-3850
Mailing Address - Country:US
Mailing Address - Phone:732-415-1401
Mailing Address - Fax:732-415-1403
Practice Address - Street 1:728 BENNETTS MILLS RD
Practice Address - Street 2:SUITE 1
Practice Address - City:JACKSON
Practice Address - State:NJ
Practice Address - Zip Code:08527-3850
Practice Address - Country:US
Practice Address - Phone:732-415-1401
Practice Address - Fax:732-415-1403
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2014-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00565200111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ080009Medicare ID - Type UnspecifiedPROVIDER ID
NJ080009Medicare ID - Type UnspecifiedPROVIDER ID