Provider Demographics
NPI:1336141316
Name:LAMBERT-PITT, SHAWNA CECILIA (MD)
Entity Type:Individual
Prefix:
First Name:SHAWNA
Middle Name:CECILIA
Last Name:LAMBERT-PITT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHAWNA
Other - Middle Name:CECILIA
Other - Last Name:LAMBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1256 MOORE RD
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77713-3919
Mailing Address - Country:US
Mailing Address - Phone:409-753-1578
Mailing Address - Fax:
Practice Address - Street 1:3560 DELAWARE ST
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-3060
Practice Address - Country:US
Practice Address - Phone:409-924-9666
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9302207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine