Lambourne, Gregory

Lambourne, Gregory is an sole proprietor health care provider with primary practice located at 1866 S Morey Rd , Lake City MI 49651-9190. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Lambourne, Gregory can be contacted via phone (231) 775-4841.

Contact Information

Primary practice address
1866 S Morey Rd Lake City MI 49651-9190
Phone: (231) 775-4841
Fax: (231) 839-7222
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301036909 Michigan

Profile Details

NPI number 1598775850
LBN Legal business name Lambourne, Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2006
Last updated Sep 26th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598775850 NPPES
Other 1105708412 BLUE CROSS BLUE SHIELD
MEDICAID 2092861-10 BLUE CROSS BLUE SHIELD

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