Lamberghini, Flavia
Lamberghini, Flavia is an individual health care provider with primary practice located at 3012 W Fullerton Ave Unit 3, Chicago IL 60647-2808. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Lamberghini, Flavia can be contacted via phone (312) 622-6511.Contact Information
Primary practice address
3012 W Fullerton Ave Unit 3
Chicago IL 60647-2808
Phone: (312) 622-6511
Fax: (773) 384-3963
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Pediatric Dentistry | 1223P0221X | 019025965 | Illinois |
Profile Details
NPI number | 1023167194 |
---|---|
LBN Legal business name | Lamberghini, Flavia |
Credentials | DDS, MPH, MS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 9th, 2007 |
Last updated | Feb 26th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023167194 | NPPES |
Illinois | MEDICAID | 019025965 | |
Illinois | MEDICAID | 1004927 |
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