Provider Demographics
NPI:1831122449
Name:LAMBE, MARY E (MD FAAFP)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:E
Last Name:LAMBE
Suffix:
Gender:F
Credentials:MD FAAFP
Other - Prefix:DR
Other - First Name:MARY
Other - Middle Name:ELIZABETH
Other - Last Name:LAMBE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 2013
Mailing Address - Street 2:
Mailing Address - City:SNOQUALMIE
Mailing Address - State:WA
Mailing Address - Zip Code:98065-2013
Mailing Address - Country:US
Mailing Address - Phone:425-888-2299
Mailing Address - Fax:425-888-1204
Practice Address - Street 1:38700 SE RIVER STREET
Practice Address - Street 2:SNOQUALMIE VALLEY CLINIC
Practice Address - City:SNOQUALMIE
Practice Address - State:WA
Practice Address - Zip Code:98065
Practice Address - Country:US
Practice Address - Phone:425-888-2299
Practice Address - Fax:425-888-1204
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-08
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA21508207Q00000X
CODR-45006207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8448193Medicaid