Provider Demographics
NPI:1447607890
Name:LAMBERT, DEBRA
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:
Other - Last Name:CONLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3045 ARNOLDSBURG RD
Mailing Address - Street 2:
Mailing Address - City:SPENCER
Mailing Address - State:WV
Mailing Address - Zip Code:25276-9575
Mailing Address - Country:US
Mailing Address - Phone:304-377-8447
Mailing Address - Fax:
Practice Address - Street 1:3045 ARNOLDSBURG RD
Practice Address - Street 2:
Practice Address - City:SPENCER
Practice Address - State:WV
Practice Address - Zip Code:25276-9575
Practice Address - Country:US
Practice Address - Phone:304-377-8447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-16
Last Update Date:2016-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVTT0011498183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician