Individual
DR. CHARLES O. LAMBIOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 AVENUE H, POWELL, WY 82435-2260
(307) 754-2267
Mailing address
777 AVENUE H, POWELL, WY 82435-2260
(307) 574-1194
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
15261A
WY
207P00000X
Emergency Medicine Physician
MD055936L
PA
207Q00000X
Family Medicine Physician
Primary
292448-1
NY
207Q00000X
Family Medicine Physician
MD055936L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001714555
—
PA
01
—
029239
BLUE SHIELD
PA
01
—
080139699
RAILROAD MEDICARE
PA
01
—
1518464
GATEWAY
PA
01
—
LA029239
REFERRING
PA
Enumeration date
10/02/2006
Last updated
05/29/2024
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