Provider Demographics
NPI:1407447469
Name:LAMBERT MEDICAL, INC
Entity Type:Organization
Organization Name:LAMBERT MEDICAL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:FREIDA
Authorized Official - Middle Name:DIANNE
Authorized Official - Last Name:LAMBERT
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, APRN, FNP-BC
Authorized Official - Phone:304-294-6800
Mailing Address - Street 1:202 GUYANDOTTE AVE
Mailing Address - Street 2:
Mailing Address - City:MULLENS
Mailing Address - State:WV
Mailing Address - Zip Code:25882-1308
Mailing Address - Country:US
Mailing Address - Phone:304-294-6800
Mailing Address - Fax:304-294-6801
Practice Address - Street 1:202 GUYANDOTTE AVE
Practice Address - Street 2:
Practice Address - City:MULLENS
Practice Address - State:WV
Practice Address - Zip Code:25882-1308
Practice Address - Country:US
Practice Address - Phone:304-294-6800
Practice Address - Fax:304-294-6801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-01
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV1962854216Medicaid