Provider Demographics
NPI:1356510234
Name:LAMBERT, DOREEN (OT)
Entity Type:Individual
Prefix:
First Name:DOREEN
Middle Name:
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:DOREEN
Other - Middle Name:
Other - Last Name:RAASCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:790 REMINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-4909
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1111 DELAFIELD ST STE 120
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-3402
Practice Address - Country:US
Practice Address - Phone:262-521-9762
Practice Address - Fax:262-521-1091
Is Sole Proprietor?:No
Enumeration Date:2008-02-26
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2433-026225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist