Provider Demographics
NPI:1174879647
Name:FREMONT ORTHOPAEDICS PC
Entity type:Organization
Organization Name:FREMONT ORTHOPAEDICS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CORY
Authorized Official - Middle Name:J
Authorized Official - Last Name:LAMBLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:307-332-9720
Mailing Address - Street 1:815 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LANDER
Mailing Address - State:WY
Mailing Address - Zip Code:82520-3491
Mailing Address - Country:US
Mailing Address - Phone:307-332-9720
Mailing Address - Fax:307-332-8206
Practice Address - Street 1:815 E MAIN ST
Practice Address - Street 2:
Practice Address - City:LANDER
Practice Address - State:WY
Practice Address - Zip Code:82520-3491
Practice Address - Country:US
Practice Address - Phone:307-332-9720
Practice Address - Fax:307-332-8206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty