Provider Demographics
NPI:1467293902
Name:LAMBOURNE, BRANDY R (DC)
Entity type:Individual
Prefix:
First Name:BRANDY
Middle Name:R
Last Name:LAMBOURNE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 HIGH ST STE B
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-3962
Mailing Address - Country:US
Mailing Address - Phone:614-396-6945
Mailing Address - Fax:
Practice Address - Street 1:510 HIGH ST STE B
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-3962
Practice Address - Country:US
Practice Address - Phone:614-396-6945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-06
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC-05350111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor