Provider Demographics
NPI:1326251562
Name:LAMBERT, GWENET LORNA (DDS)
Entity Type:Individual
Prefix:DR
First Name:GWENET
Middle Name:LORNA
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21614 VICKY AVE
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-6336
Mailing Address - Country:US
Mailing Address - Phone:310-540-8750
Mailing Address - Fax:
Practice Address - Street 1:3640 LOMITA BLVD
Practice Address - Street 2:#202
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-3927
Practice Address - Country:US
Practice Address - Phone:310-375-8101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA304151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA30415OtherSTATE LICENCE NUMBER