Provider Demographics
NPI:1083698864
Name:LAMBERT, RICHARD P (NP)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:P
Last Name:LAMBERT
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:558 TREMONT ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-3717
Mailing Address - Country:US
Mailing Address - Phone:617-290-7768
Mailing Address - Fax:617-350-7768
Practice Address - Street 1:1575 CAMBRIDGE ST
Practice Address - Street 2:YOUVILLE HOSPITAL
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-4398
Practice Address - Country:US
Practice Address - Phone:617-876-4344
Practice Address - Fax:617-234-7981
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA163654363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
S76211Medicare UPIN
MALANP1714Medicare ID - Type Unspecified