Provider Demographics
NPI:1285669507
Name:LAMBERT, WILLIAM DREAS (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:DREAS
Last Name:LAMBERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1325 SPRING ST
Mailing Address - Street 2:SRH BHU
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29646-3860
Mailing Address - Country:US
Mailing Address - Phone:864-725-4398
Mailing Address - Fax:864-725-4399
Practice Address - Street 1:1325 SPRING ST
Practice Address - Street 2:SRH BHU
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29646-3860
Practice Address - Country:US
Practice Address - Phone:864-725-4398
Practice Address - Fax:864-725-4399
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC365332084P0800X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ158478Medicaid
SC365330Medicaid
AZ158478Medicaid
AZF64333Medicare UPIN
AZ71978Medicare PIN