Provider Demographics
NPI:1548272909
Name:DR. MILENA D. LAMBIE, D.O., P.C.
Entity type:Organization
Organization Name:DR. MILENA D. LAMBIE, D.O., P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MILENA
Authorized Official - Middle Name:DIANA
Authorized Official - Last Name:LAMBIE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:248-476-4000
Mailing Address - Street 1:27750 MIDDLEBELT RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-5005
Mailing Address - Country:US
Mailing Address - Phone:248-476-4000
Mailing Address - Fax:248-477-7490
Practice Address - Street 1:27750 MIDDLEBELT RD
Practice Address - Street 2:SUITE 150
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-5005
Practice Address - Country:US
Practice Address - Phone:248-476-4000
Practice Address - Fax:248-477-7490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-13
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4930689Medicaid
MI0P34570Medicare PIN