Provider Demographics
NPI:1215142559
Name:LAMBIE, NATALIE DAWN (DO)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:DAWN
Last Name:LAMBIE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:NATALIE
Other - Middle Name:DAWN
Other - Last Name:BOYCE-MARSHALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:400 HEALTH PARK BLVD
Mailing Address - Street 2:EMERGENCY DEPARTMENT
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32086-5784
Mailing Address - Country:US
Mailing Address - Phone:904-819-4304
Mailing Address - Fax:904-819-4912
Practice Address - Street 1:400 HEALTH PARK BLVD
Practice Address - Street 2:EMERGENCY DEPARTMENT
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32086-5784
Practice Address - Country:US
Practice Address - Phone:904-819-4304
Practice Address - Fax:904-819-4912
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101016445207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1215142559Medicaid
MIQ26294434Medicare PIN