Provider Demographics
NPI:1164232443
Name:LAMBRAKIS, KIM ANN
Entity type:Individual
Prefix:
First Name:KIM
Middle Name:ANN
Last Name:LAMBRAKIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7135 RUSTIC OVAL
Mailing Address - Street 2:
Mailing Address - City:SEVEN HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44131-4525
Mailing Address - Country:US
Mailing Address - Phone:216-407-0884
Mailing Address - Fax:
Practice Address - Street 1:5400 PEARL RD
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-1545
Practice Address - Country:US
Practice Address - Phone:440-866-6233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-09
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03222967183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist