Provider Demographics
NPI:1285803528
Name:LAMBERT, ERICA HOPE (MD)
Entity type:Individual
Prefix:DR
First Name:ERICA
Middle Name:HOPE
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4 RIDGEBURY RD
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:CT
Mailing Address - Zip Code:06001-3825
Mailing Address - Country:US
Mailing Address - Phone:917-837-9215
Mailing Address - Fax:
Practice Address - Street 1:6 NORTHWESTERN DR STE 305
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:CT
Practice Address - Zip Code:06002-3428
Practice Address - Country:US
Practice Address - Phone:959-895-9853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-20
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT049815208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1285803528Medicaid