Provider Demographics
NPI:1477283356
Name:LAMBERT, KATELIN STORM (PHARMD)
Entity Type:Individual
Prefix:
First Name:KATELIN
Middle Name:STORM
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19240 AURORA AVE N APT 2-103
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-2935
Mailing Address - Country:US
Mailing Address - Phone:541-637-6072
Mailing Address - Fax:
Practice Address - Street 1:19240 AURORA AVE N APT 2-103
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-2935
Practice Address - Country:US
Practice Address - Phone:541-637-6072
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-14
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAIR60881869183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist