Basic Information
| Provider Information | |||||||||
| NPI: | 1396030094 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LAMBA | ||||||||
| FirstName: | NEERAV | ||||||||
| MiddleName: | NEEL | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6280 W SAMPLE RD STE 202 | ||||||||
| Address2: | |||||||||
| City: | CORAL SPRINGS | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330673173 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5613223588 | ||||||||
| FaxNumber: | 7548125993 | ||||||||
| Practice Location | |||||||||
| Address1: | 6280 W SAMPLE RD STE 202 | ||||||||
| Address2: | |||||||||
| City: | CORAL SPRINGS | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330673173 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5613223588 | ||||||||
| FaxNumber: | 7548125993 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/10/2011 | ||||||||
| LastUpdateDate: | 07/05/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 07/05/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207W00000X | ME155458 | FL | N | Allopathic & Osteopathic Physicians | Ophthalmology | 207WX0107X | ME155458 | FL | Y |
No ID Information.