Basic Information
| Provider Information | |||||||||
| NPI: | 1265606610 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LAMBERT | ||||||||
| FirstName: | CYNTHIA | ||||||||
| MiddleName: | AUGEREAU | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MSN, FNP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1002 S OLD DIXIE HWY STE 201 | ||||||||
| Address2: | |||||||||
| City: | JUPITER | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334587202 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5617442200 | ||||||||
| FaxNumber: | 5617443083 | ||||||||
| Practice Location | |||||||||
| Address1: | 1002 S OLD DIXIE HWY STE 201 | ||||||||
| Address2: | |||||||||
| City: | JUPITER | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334587202 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5617442200 | ||||||||
| FaxNumber: | 5617443083 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/16/2008 | ||||||||
| LastUpdateDate: | 04/05/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | ARNP9335553 | FL | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
ID Information
| ID | Type | State | Issuer | Description | Y0J89 | 01 | FL | FLORIDA BLUE | OTHER | 009570700 | 05 | FL | MEDICAID |