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:
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Health care specialties

SpecialtyCodeLicense #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 10 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 1023167194 NPPES
Illinois MEDICAID 019025965
Illinois MEDICAID 1004927

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