Provider Demographics
NPI:1447761408
Name:LAMBERT, DAVID MORRIS
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:MORRIS
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 1:904 N 1ST ST STE 100
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23219-1000
Mailing Address - Country:US
Mailing Address - Phone:804-263-8423
Mailing Address - Fax:804-220-9365
Practice Address - Street 1:904 N 1ST ST STE 100
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219-1000
Practice Address - Country:US
Practice Address - Phone:804-263-8423
Practice Address - Fax:804-220-9365
Is Sole Proprietor?:No
Enumeration Date:2017-10-17
Last Update Date:2017-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1101004229156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician