Provider Demographics
NPI:1437243201
Name:LAMBERT, RENATE MAGDELEEN (LMT)
Entity Type:Individual
Prefix:MRS
First Name:RENATE
Middle Name:MAGDELEEN
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2047 SW 73RD STREET
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-3760
Mailing Address - Country:US
Mailing Address - Phone:352-222-8543
Mailing Address - Fax:352-322-6634
Practice Address - Street 1:2047 SW 73RD STREET
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-3760
Practice Address - Country:US
Practice Address - Phone:352-222-8543
Practice Address - Fax:352-322-6634
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA 44816225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist