Provider Demographics
NPI:1700069390
Name:THOMAS LAMBE MD PC
Entity type:Organization
Organization Name:THOMAS LAMBE MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:P
Authorized Official - Last Name:LAMBE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-347-3381
Mailing Address - Street 1:70 CRESCENT ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-3623
Mailing Address - Country:US
Mailing Address - Phone:860-347-3381
Mailing Address - Fax:860-344-9181
Practice Address - Street 1:70 CRESCENT ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457-3623
Practice Address - Country:US
Practice Address - Phone:860-347-3381
Practice Address - Fax:860-344-9181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-06
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT011415207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1114156Medicaid
CT050713OtherCONNECTICARE
CT080000042CTOtherBLUE CROSS BLUE SHIELD
CT1114156Medicaid
CTC65022Medicare UPIN