Provider Demographics
NPI:1912031840
Name:LEMBCK, KATE F (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:KATE
Middle Name:F
Last Name:LEMBCK
Suffix:
Gender:F
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:623 S TROOPER RD
Mailing Address - Street 2:
Mailing Address - City:AUDUBON
Mailing Address - State:PA
Mailing Address - Zip Code:19403-2309
Mailing Address - Country:US
Mailing Address - Phone:610-630-1560
Mailing Address - Fax:
Practice Address - Street 1:623 S TROOPER RD
Practice Address - Street 2:
Practice Address - City:AUDUBON
Practice Address - State:PA
Practice Address - Zip Code:19403-2309
Practice Address - Country:US
Practice Address - Phone:610-630-1560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0316361223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health