Individual
COLLEEN K LAMBERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 E IDAHO ST, BOISE, ID 83712-6223
(208) 343-3223
(208) 343-3263
Mailing address
PO BOX 1809, BOISE, ID 83701-1809
(208) 343-3223
(208) 343-3263
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP432A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805917600
—
ID
Enumeration date
08/21/2006
Last updated
07/08/2007
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