Provider Demographics
NPI:1043390495
Name:LAMBERT, VICTORIA (MS, RD, LDN)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:MS, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 SHIELDS AVE
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-1378
Mailing Address - Country:US
Mailing Address - Phone:630-740-0394
Mailing Address - Fax:
Practice Address - Street 1:18 SHIELDS AVE
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-1378
Practice Address - Country:US
Practice Address - Phone:630-740-0394
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL164003681133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL7401798OtherAETNA
IL2647134OtherUNITED HEALTHCARE
IL02232976OtherBLUE CROSS BLUE SHIELD