Provider Demographics
NPI:1831499698
Name:LAMBRECHT, SALLY BORCHER
Entity Type:Individual
Prefix:MRS
First Name:SALLY
Middle Name:BORCHER
Last Name:LAMBRECHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2324 LINDEN ST
Mailing Address - Street 2:
Mailing Address - City:SIDNEY
Mailing Address - State:NE
Mailing Address - Zip Code:69162-1861
Mailing Address - Country:US
Mailing Address - Phone:308-254-2609
Mailing Address - Fax:
Practice Address - Street 1:1930 ILLINOIS ST
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:NE
Practice Address - Zip Code:69162-1427
Practice Address - Country:US
Practice Address - Phone:308-254-1188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-27
Last Update Date:2010-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE9615183500000X
CA38260183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist