Provider Demographics
NPI:1265177364
Name:CRUZ-LAMBOY, AMANDA CAROLINA
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:CAROLINA
Last Name:CRUZ-LAMBOY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2902 CENTRAL HEIGHTS RD STE E
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27534-6513
Mailing Address - Country:US
Mailing Address - Phone:919-341-1818
Mailing Address - Fax:919-288-2379
Practice Address - Street 1:3528 ADIRONDACK WAY STE 120
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-0166
Practice Address - Country:US
Practice Address - Phone:910-679-4079
Practice Address - Fax:910-679-4097
Is Sole Proprietor?:No
Enumeration Date:2022-05-03
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5494111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor