Provider Demographics
NPI:1003439316
Name:LIVING WELL FAMILY HEALTH CENTER
Entity Type:Organization
Organization Name:LIVING WELL FAMILY HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:CURTIS
Authorized Official - Last Name:LAMBERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:346-220-8585
Mailing Address - Street 1:21009 KUYKENDAHL RD STE A
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-3310
Mailing Address - Country:US
Mailing Address - Phone:346-220-8585
Mailing Address - Fax:346-220-8589
Practice Address - Street 1:21009 KUYKENDAHL RD STE A
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-3310
Practice Address - Country:US
Practice Address - Phone:346-220-8585
Practice Address - Fax:346-220-8589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-20
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty