Individual
SHANNON LAMBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
35514 INDIGO DR, STERLING HEIGHTS, MI 48310-4946
(586) 212-2671
Mailing address
11398 COMMON RD, WARREN, MI 48093-2549
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L516765734242
MI
Other
Enumeration date
07/31/2016
Last updated
07/31/2016
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