Provider Demographics
NPI:1104904325
Name:LAMBING, ANGELA Y (MSN, NP-C)
Entity type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:Y
Last Name:LAMBING
Suffix:
Gender:F
Credentials:MSN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12732 CLARICE AVE
Mailing Address - Street 2:
Mailing Address - City:TECUMSEH,
Mailing Address - State:ONTARIO, CANADA
Mailing Address - Zip Code:N8N 1J6
Mailing Address - Country:CA
Mailing Address - Phone:313-916-9094
Mailing Address - Fax:313-916-9047
Practice Address - Street 1:2799 W GRAND BLVD
Practice Address - Street 2:HEMATOLOGY/ONCOLOGY, K-13
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-2608
Practice Address - Country:US
Practice Address - Phone:313-916-9094
Practice Address - Fax:313-916-9047
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704133240363LA2200X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology