Provider Demographics
NPI:1467130641
Name:LAMBERT, BRANDI LYNN
Entity Type:Individual
Prefix:
First Name:BRANDI
Middle Name:LYNN
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22086 CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:NE
Mailing Address - Zip Code:68366-2020
Mailing Address - Country:US
Mailing Address - Phone:402-540-6094
Mailing Address - Fax:
Practice Address - Street 1:22086 CHURCH RD
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:NE
Practice Address - Zip Code:68366-2020
Practice Address - Country:US
Practice Address - Phone:402-540-6094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-07
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEBACB963887374700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician