Provider Demographics
NPI:1508963224
Name:LAMBERT, CHARLA LEE (LIMHP)
Entity Type:Individual
Prefix:MRS
First Name:CHARLA
Middle Name:LEE
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:LIMHP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1551 26TH AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:COLUMBUS
Mailing Address - State:NE
Mailing Address - Zip Code:68601-4938
Mailing Address - Country:US
Mailing Address - Phone:402-562-7728
Mailing Address - Fax:402-562-7728
Practice Address - Street 1:1551 26TH AVE
Practice Address - Street 2:SUITE B
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68601-4938
Practice Address - Country:US
Practice Address - Phone:402-562-7728
Practice Address - Fax:402-562-7728
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-17
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE17511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE270219Medicare PIN