Individual
CHANELLE NICHOLE LAMBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3801 FILBERT ST, STE W130, PHILADELPHIA, PA 19104-2640
(215) 662-9436
(215) 243-3208
Mailing address
3801 FILBERT ST, STE W130, PHILADELPHIA, PA 19104-2640
(215) 662-9436
(215) 243-3208
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA054561
PA
Other
Enumeration date
10/15/2010
Last updated
12/29/2017
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