Provider Demographics
NPI:1740594845
Name:LAMBOURNE, STEVEN ERIC (DDS)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:ERIC
Last Name:LAMBOURNE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10221 JEFFCOTT ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89178-8005
Mailing Address - Country:US
Mailing Address - Phone:405-532-4744
Mailing Address - Fax:
Practice Address - Street 1:10221 JEFFCOTT ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89178-8005
Practice Address - Country:US
Practice Address - Phone:405-532-4744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-30
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6073122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist