Organization Active NPI

Lambeth Plastic Surgery & Aesthetics, PA

  • Plastic Surgery Physician
  • Raleigh, NC
National Provider Identifier
1245566090
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
17385 Issued in NC
Legal business name
LAMBETH PLASTIC SURGERY & AESTHETICS, PA
Practice address
4201 Lake Boone TRL
Ste 103
Raleigh, NC 27607-7512
Phone
(919) 782-1818
NPI assigned
Oct 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William A Lambeth III, MD
Title
President
Phone
(919) 782-1818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 17385 NC Primary

Addresses

Primary practice location

4201 Lake Boone TRL
Ste 103
Raleigh, NC 27607-7512

Mailing address

PO Box 16595
Ste 103
Chapel Hill, NC 27516-6595
Phone (919) 442-2405

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256774400000",
    "number": "1245566090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16595",
            "address_2": "STE 103",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275166595",
            "telephone_number": "919-442-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 LAKE BOONE TRL",
            "address_2": "STE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077512",
            "telephone_number": "919-782-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMBETH PLASTIC SURGERY & AESTHETICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-29",
        "last_updated": "2009-10-29",
        "status": "A",
        "authorized_official_last_name": "LAMBETH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-782-1818",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NC",
            "license": "17385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.