Provider Demographics
NPI:1346214251
Name:LAMBERT, BRIAN BERNARD (PA C)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:BERNARD
Last Name:LAMBERT
Suffix:
Gender:M
Credentials:PA C
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Mailing Address - Street 1:6894 LAKE WORTH RD
Mailing Address - Street 2:SUITE #201
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467
Mailing Address - Country:US
Mailing Address - Phone:561-433-1100
Mailing Address - Fax:561-433-1013
Practice Address - Street 1:6894 LAKE WORTH ROAD
Practice Address - Street 2:SUITE #201
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467
Practice Address - Country:US
Practice Address - Phone:561-433-1100
Practice Address - Fax:561-433-1013
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-15
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9102346363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant