Provider Demographics
NPI:1598814592
Name:LAMBERT-DIMICK, LISA MURIEL (RPH)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:MURIEL
Last Name:LAMBERT-DIMICK
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 CHAUNCEY AVE
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104-1513
Mailing Address - Country:US
Mailing Address - Phone:603-627-7727
Mailing Address - Fax:603-577-4176
Practice Address - Street 1:2300 SOUTHWOOD DR
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063-1818
Practice Address - Country:US
Practice Address - Phone:603-577-4177
Practice Address - Fax:603-577-4176
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2012-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2503183500000X
MA19627183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist