Provider Demographics
NPI:1134145204
Name:LAMBERT, WILLIAM FREDERICK (DPM MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:FREDERICK
Last Name:LAMBERT
Suffix:
Gender:M
Credentials:DPM MD
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Mailing Address - Street 1:525 RIVERGATE PARKWAY
Mailing Address - Street 2:SUITE 3
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-2027
Mailing Address - Country:US
Mailing Address - Phone:615-859-7750
Mailing Address - Fax:615-851-9557
Practice Address - Street 1:525 RIVERGATE PARKWAY
Practice Address - Street 2:SUITE 3
Practice Address - City:GOODLETTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37072-2027
Practice Address - Country:US
Practice Address - Phone:615-859-7750
Practice Address - Fax:615-851-9557
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2010-08-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNDPM00000000163213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3350656Medicaid
TN3350656Medicaid
T61067Medicare UPIN