Provider Demographics
NPI:1356317317
Name:LAMBRECHT, DAWN MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:DAWN
Middle Name:MARIE
Last Name:LAMBRECHT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:955 FRED W MOORE HWY
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR
Mailing Address - State:MI
Mailing Address - Zip Code:48079-4963
Mailing Address - Country:US
Mailing Address - Phone:810-326-0837
Mailing Address - Fax:810-326-1534
Practice Address - Street 1:955 FRED W MOORE HWY
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR
Practice Address - State:MI
Practice Address - Zip Code:48079-4963
Practice Address - Country:US
Practice Address - Phone:810-326-0837
Practice Address - Fax:810-326-1534
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2016-10-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301072570207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0G410560OtherBLUE CROSS
MI0G410560OtherBLUE CROSS