Provider Demographics
NPI:1679302111
Name:LAMBETH, BETH (CD/PCD(DONA),CHW)
Entity type:Individual
Prefix:MRS
First Name:BETH
Middle Name:
Last Name:LAMBETH
Suffix:
Gender:F
Credentials:CD/PCD(DONA),CHW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:261 SHARYHILL ROAD
Mailing Address - Street 2:
Mailing Address - City:BRANSON
Mailing Address - State:MO
Mailing Address - Zip Code:65616
Mailing Address - Country:US
Mailing Address - Phone:417-527-8224
Mailing Address - Fax:
Practice Address - Street 1:261 SHARYHILL ROAD
Practice Address - Street 2:
Practice Address - City:BRANSON
Practice Address - State:MO
Practice Address - Zip Code:65616
Practice Address - Country:US
Practice Address - Phone:417-527-8224
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DONA14902374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula