Provider Demographics
NPI:1205979119
Name:LAMBETH, REBECCA CHEEK (NP)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:CHEEK
Last Name:LAMBETH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2076 STUTTS RD
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27205-2242
Mailing Address - Country:US
Mailing Address - Phone:336-318-6200
Mailing Address - Fax:336-318-6234
Practice Address - Street 1:2222 S FAYETTEVILLE ST STE B
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27205-7368
Practice Address - Country:US
Practice Address - Phone:336-318-6200
Practice Address - Fax:336-318-6234
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC800046363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC078853OtherREGISTERED NURSE LICENSE
NC800046OtherNC MEDICAL BOARD