Individual
KEVIN CHAD LAMBOURNE
Active
Individual
KEVIN CHAD LAMBOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
050699
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
1395
WY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2356
MT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
6377376-9921
UT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
D-3940-OR
ID
Other
Enumeration date
12/15/2006
Last updated
03/16/2016
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