Provider Demographics
NPI:1053738054
Name:LAMBETH, LAUREN RACHEL (NP)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:RACHEL
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 1:360 HOSPITAL DR
Mailing Address - Street 2:SUITE 110D
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31217-3874
Mailing Address - Country:US
Mailing Address - Phone:478-841-2707
Mailing Address - Fax:
Practice Address - Street 1:360 HOSPITAL DR
Practice Address - Street 2:SUITE 110D
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31217-3874
Practice Address - Country:US
Practice Address - Phone:478-841-2707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-27
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN168252363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care