Provider Demographics
NPI:1720887565
Name:LAMBRECHT, CHARASTEN D
Entity type:Individual
Prefix:
First Name:CHARASTEN
Middle Name:D
Last Name:LAMBRECHT
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 S EDDY ST
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68801-6546
Mailing Address - Country:US
Mailing Address - Phone:308-850-9079
Mailing Address - Fax:
Practice Address - Street 1:320 S EDDY ST
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68801-6546
Practice Address - Country:US
Practice Address - Phone:308-850-9079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion