Provider Demographics
NPI:1578764858
Name:LAMBERTO, LUCILLE CARMELA (CNM)
Entity Type:Individual
Prefix:MS
First Name:LUCILLE
Middle Name:CARMELA
Last Name:LAMBERTO
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 92
Mailing Address - Street 2:
Mailing Address - City:RODANTHE
Mailing Address - State:NC
Mailing Address - Zip Code:27968-0092
Mailing Address - Country:US
Mailing Address - Phone:252-305-1116
Mailing Address - Fax:
Practice Address - Street 1:26227 RAMPART ST
Practice Address - Street 2:
Practice Address - City:SALVO
Practice Address - State:NC
Practice Address - Zip Code:27972
Practice Address - Country:US
Practice Address - Phone:252-305-1116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC94329163W00000X
PAMW010180367A00000X
MDAC001085367A00000X
AZAP2944367A00000X
COC-APN 0005097367A00000X
NYF001329-1367A00000X
NC294367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse