Provider Demographics
NPI:1326812660
Name:LAMBERT HARRISON, THERESA NATALIE
Entity Type:Individual
Prefix:
First Name:THERESA
Middle Name:NATALIE
Last Name:LAMBERT HARRISON
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 1:68 JAMES ST APT 2
Mailing Address - Street 2:
Mailing Address - City:TORRINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06790-4905
Mailing Address - Country:US
Mailing Address - Phone:503-765-0208
Mailing Address - Fax:
Practice Address - Street 1:68 JAMES ST APT 2
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790-4905
Practice Address - Country:US
Practice Address - Phone:503-765-0208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-07
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker