Provider Demographics
NPI:1497515605
Name:PHELPS LAMBERT MD LLC
Entity Type:Organization
Organization Name:PHELPS LAMBERT MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PHELPS
Authorized Official - Middle Name:J
Authorized Official - Last Name:LAMBERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:267-210-0671
Mailing Address - Street 1:200 LAKESIDE DR STE 226
Mailing Address - Street 2:
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044-2321
Mailing Address - Country:US
Mailing Address - Phone:445-265-2073
Mailing Address - Fax:445-265-2074
Practice Address - Street 1:200 LAKESIDE DR STE 226
Practice Address - Street 2:
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044-2321
Practice Address - Country:US
Practice Address - Phone:445-265-2073
Practice Address - Fax:445-265-2074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty