Provider Demographics
NPI:1063678100
Name:LAMBROIA, LAWRENCE A (DDS)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:A
Last Name:LAMBROIA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2246 BRIGHT AVE
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-2023
Mailing Address - Country:US
Mailing Address - Phone:516-735-8700
Mailing Address - Fax:516-579-5506
Practice Address - Street 1:2246 BRIGHT AVE
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-2023
Practice Address - Country:US
Practice Address - Phone:516-735-8700
Practice Address - Fax:516-579-5506
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-29
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0377951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice