Organization
CHARANJIT K. LAMBA M.D. P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARANJIT K. LAMBA M.D. (PRESIDENT/OWNER)
(253) 839-0413
Entity
Organization
Contact information
Practice address
24703 38TH AVE S, KENT, WA 98032-4111
(253) 839-0413
Mailing address
24703 38TH AVE S, KENT, WA 98032-4111
(253) 839-0413
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MD00020975
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1046994
MEDICAID
WA
01
—
44320
L&I
WA
05
—
7102973
—
WA
01
—
751
AETNA
WA
01
—
LA4631
REGENCE BLUE SHIELD
WA
Enumeration date
02/14/2008
Last updated
02/14/2008
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