Provider Demographics
NPI:1437553377
Name:LAMBING, CRYSTAL L (MSN,RN,AGCNS-BC)
Entity Type:Individual
Prefix:MISS
First Name:CRYSTAL
Middle Name:L
Last Name:LAMBING
Suffix:
Gender:F
Credentials:MSN,RN,AGCNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:970 WYNDHAM DR
Mailing Address - Street 2:
Mailing Address - City:BOARDMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44512
Mailing Address - Country:US
Mailing Address - Phone:330-259-0440
Mailing Address - Fax:330-259-0441
Practice Address - Street 1:970 WYNDHAM DR
Practice Address - Street 2:
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512
Practice Address - Country:US
Practice Address - Phone:330-259-0440
Practice Address - Fax:330-259-0441
Is Sole Proprietor?:No
Enumeration Date:2014-10-21
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNS.16737364S00000X, 364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH200938077Medicaid