Provider Demographics
NPI:1285653550
Name:LAMBERT, KARL W (ARNP)
Entity Type:Individual
Prefix:
First Name:KARL
Middle Name:W
Last Name:LAMBERT
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4000
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98807-4000
Mailing Address - Country:US
Mailing Address - Phone:509-888-6334
Mailing Address - Fax:877-682-0175
Practice Address - Street 1:230 GRANT ROAD SUITE 2B
Practice Address - Street 2:
Practice Address - City:EAST WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98802-7723
Practice Address - Country:US
Practice Address - Phone:509-888-6334
Practice Address - Fax:509-682-0175
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30004597363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9621483Medicaid
WA218840OtherLABOR & INDUSTRY
WAAB03945Medicare ID - Type Unspecified
WA218840OtherLABOR & INDUSTRY