Provider Demographics
NPI:1336270099
Name:LAMBAN, DELFIN D JR
Entity type:Individual
Prefix:MR
First Name:DELFIN
Middle Name:D
Last Name:LAMBAN
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7209 S ORANGE BLOSSOM TRL APT 209
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32809-5718
Mailing Address - Country:US
Mailing Address - Phone:689-254-1562
Mailing Address - Fax:
Practice Address - Street 1:200 CLUBHOUSE VISTA RD
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:FL
Practice Address - Zip Code:32702-9639
Practice Address - Country:US
Practice Address - Phone:800-343-1588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9690225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist