Provider Demographics
NPI:1558471615
Name:LAMBIE, D IANTHE (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:D
Middle Name:IANTHE
Last Name:LAMBIE
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:IANTHE
Other - Middle Name:
Other - Last Name:LAMBIE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:2511 SAINT LUCIA CIR
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32967-7580
Mailing Address - Country:US
Mailing Address - Phone:954-778-8681
Mailing Address - Fax:
Practice Address - Street 1:111 N ORANGE AVE STE 800
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32801-2381
Practice Address - Country:US
Practice Address - Phone:253-922-4027
Practice Address - Fax:844-222-0800
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0079403207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL258343700Medicaid
FL258343700Medicaid
FL49516AMedicare UPIN