Basic Information
Provider Information
NPI: 1457438558
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LAMBDEN
FirstName: PATRICIA
MiddleName: HIGHTOWER
NamePrefix: MRS.
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: HIGHTOWER
OtherFirstName: PATRICIA
OtherMiddleName: LEIGH
OtherNamePrefix: MISS
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: PO BOX 402669
Address2:  
City: ATLANTA
State: GA
PostalCode: 303842669
CountryCode: US
TelephoneNumber: 5122064341
FaxNumber: 5124071947
Practice Location
Address1: 800 W CENTRAL TEXAS EXPY
Address2: SUITE 355
City: HARKER HEIGHTS
State: TX
PostalCode: 765481899
CountryCode: US
TelephoneNumber: 2545262085
FaxNumber: 2545269569
Other Information
ProviderEnumerationDate: 11/01/2006
LastUpdateDate: 03/07/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
364SA2200XAP114433TXY Physician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health

No ID Information.


Home