Provider Demographics
NPI:1831113950
Name:LAMBROU, NICHOLAS C (MD)
Entity type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:C
Last Name:LAMBROU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2003 MEDICAL PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-3076
Mailing Address - Country:US
Mailing Address - Phone:443-481-3493
Mailing Address - Fax:
Practice Address - Street 1:2003 MEDICAL PKWY STE 100
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3076
Practice Address - Country:US
Practice Address - Phone:443-481-3493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME81107207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2673452-00Medicaid
FLI05116Medicare UPIN
FL2673452-00Medicaid