Individual
MACKENZIE RAEN LAMBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
5875 BREMO RD STE 500, RICHMOND, VA 23226-1928
(804) 297-3055
(804) 297-3056
Mailing address
PO BOX 936952, ATLANTA, GA 31193-6952
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024172965
VA
363LP0200X
Pediatric Nurse Practitioner
0024172965
VA
Other
Enumeration date
09/24/2015
Last updated
08/02/2022
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