Provider Demographics
NPI:1164559951
Name:LAMBERTSON, ANNA MARIE (MD)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIE
Last Name:LAMBERTSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 N ROME AVE UNIT 322
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-1318
Mailing Address - Country:US
Mailing Address - Phone:541-816-6289
Mailing Address - Fax:
Practice Address - Street 1:510 N ROME AVE UNIT 322
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-1318
Practice Address - Country:US
Practice Address - Phone:541-816-6289
Practice Address - Fax:541-773-8483
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1685592083P0901X
IN01041693A2083P0901X
FLME1621902083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine