Provider Demographics
NPI:1356451686
Name:LORI K. LAMBERT, M.D., P.A.
Entity Type:Organization
Organization Name:LORI K. LAMBERT, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:A
Authorized Official - Last Name:WISTNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-363-2000
Mailing Address - Street 1:7051 DR PHILLIPS BLVD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-5140
Mailing Address - Country:US
Mailing Address - Phone:407-363-2000
Mailing Address - Fax:407-351-2239
Practice Address - Street 1:7051 DR PHILLIPS BLVD
Practice Address - Street 2:SUITE 5
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-5140
Practice Address - Country:US
Practice Address - Phone:407-363-2000
Practice Address - Fax:407-351-2239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME50773207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL09318OtherBLUE CROSS/BLUE SHIELD
FL09318OtherBLUE CROSS/BLUE SHIELD
FL09318ZMedicare ID - Type Unspecified