Provider Demographics
NPI:1124302336
Name:LAMBOY, GEORGE FREDRICK (EXERCISE THERAPY)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:FREDRICK
Last Name:LAMBOY
Suffix:
Gender:M
Credentials:EXERCISE THERAPY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 DAMSON PLUM CT
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29301-6263
Mailing Address - Country:US
Mailing Address - Phone:864-347-9610
Mailing Address - Fax:
Practice Address - Street 1:807 DAMSON PLUM CT
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29301-6263
Practice Address - Country:US
Practice Address - Phone:864-347-9610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-06
Last Update Date:2014-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1200006529171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor