Provider Demographics
NPI:1003491770
Name:LAMBERT, CYNTHIA LYN
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:LYN
Last Name:LAMBERT
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 1:111 COUNTY ROAD 261
Mailing Address - Street 2:
Mailing Address - City:IUKA
Mailing Address - State:MS
Mailing Address - Zip Code:38852-8029
Mailing Address - Country:US
Mailing Address - Phone:662-279-9498
Mailing Address - Fax:
Practice Address - Street 1:111 COUNTY ROAD 261
Practice Address - Street 2:
Practice Address - City:IUKA
Practice Address - State:MS
Practice Address - Zip Code:38852-8029
Practice Address - Country:US
Practice Address - Phone:662-279-9498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-15
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care