Provider Demographics
NPI:1518644624
Name:LAMBERT, QUINN ARTHUR
Entity Type:Individual
Prefix:
First Name:QUINN
Middle Name:ARTHUR
Last Name:LAMBERT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 WILEY HILL RD
Mailing Address - Street 2:
Mailing Address - City:BELLOWS FALLS
Mailing Address - State:VT
Mailing Address - Zip Code:05101-3328
Mailing Address - Country:US
Mailing Address - Phone:443-987-3208
Mailing Address - Fax:
Practice Address - Street 1:27 WILEY HILL RD
Practice Address - Street 2:
Practice Address - City:BELLOWS FALLS
Practice Address - State:VT
Practice Address - Zip Code:05101-3328
Practice Address - Country:US
Practice Address - Phone:443-987-3208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-30
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health