Provider Demographics
NPI:1104415389
Name:LAMBROS, BRITTANY (LMT)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:LAMBROS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:595 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ASBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08802-1349
Mailing Address - Country:US
Mailing Address - Phone:908-514-7439
Mailing Address - Fax:
Practice Address - Street 1:5 WALTER E FORAN BLVD
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-4678
Practice Address - Country:US
Practice Address - Phone:908-514-7439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-13
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
18KT00029800225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist