Provider Demographics
NPI:1376542621
Name:LAMBERTS, DAVID WINTON (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:WINTON
Last Name:LAMBERTS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4003 22ND ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-1115
Mailing Address - Country:US
Mailing Address - Phone:806-792-3400
Mailing Address - Fax:806-792-2023
Practice Address - Street 1:4003 22ND ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-1115
Practice Address - Country:US
Practice Address - Phone:806-792-3400
Practice Address - Fax:806-792-2023
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF2766207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM000V3652Medicaid
B24210Medicare UPIN
TX00A17GMedicare ID - Type Unspecified