Provider Demographics
NPI:1417259847
Name:LAMBERT, THOMAS E
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:E
Last Name:LAMBERT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11205 ALPHARETTA HWY
Mailing Address - Street 2:E-3
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076
Mailing Address - Country:US
Mailing Address - Phone:678-240-0042
Mailing Address - Fax:
Practice Address - Street 1:11205 ALPHARETTA HWY
Practice Address - Street 2:E-3
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-5610
Practice Address - Country:US
Practice Address - Phone:678-240-0042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-17
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No175L00000XOther Service ProvidersHomeopath