Provider Demographics
NPI:1992748511
Name:LAMBI, SHARON N (PA)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:N
Last Name:LAMBI
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1710 BROADWAY ST.
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581
Mailing Address - Country:US
Mailing Address - Phone:281-648-1296
Mailing Address - Fax:281-648-1604
Practice Address - Street 1:1710 BROADWAY ST.
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581
Practice Address - Country:US
Practice Address - Phone:281-648-1296
Practice Address - Fax:281-648-1604
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2009-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA04788363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8N9507OtherBLUE CROSS BLUE SHEILD
TXPA04788OtherLIC# FROM TX MED BOARD
TX8N9507OtherBLUE CROSS BLUE SHEILD