Individual
DR. FLAVIA LAMBERGHINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MPH, MS
Contact information
Practice address
3012 W FULLERTON AVE, UNIT 3, CHICAGO, IL 60647-2808
(312) 622-6511
(773) 384-3963
Mailing address
3012 W FULLERTON AVE, UNIT 3, CHICAGO, IL 60647-2808
(312) 622-6511
(773) 384-3963
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
019025965
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019025965
—
IL
05
—
1004927
—
IL
Enumeration date
01/09/2007
Last updated
02/26/2016
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