Provider Demographics
NPI:1801170857
Name:LAMBIE, LAUREN (MS)
Entity type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:
Last Name:LAMBIE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MRS
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:THARP
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:6445 STREAM VALLEY WAY
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20882-1270
Mailing Address - Country:US
Mailing Address - Phone:301-740-8332
Mailing Address - Fax:301-740-8639
Practice Address - Street 1:6445 STREAM VALLEY WAY
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20882-1270
Practice Address - Country:US
Practice Address - Phone:301-740-8332
Practice Address - Fax:301-740-8639
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-07
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC1253101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional