Provider Demographics
NPI:1518278019
Name:LAMBERT, AMYQ L (LPN)
Entity Type:Individual
Prefix:MISS
First Name:AMYQ
Middle Name:L
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2518 GALWAY CT
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:OH
Mailing Address - Zip Code:45373-1031
Mailing Address - Country:US
Mailing Address - Phone:937-732-1829
Mailing Address - Fax:
Practice Address - Street 1:2518 GALWAY CT
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:OH
Practice Address - Zip Code:45373-1031
Practice Address - Country:US
Practice Address - Phone:937-732-1829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-29
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.137798-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse