Provider Demographics
NPI:1558369470
Name:LAMBERTS LIMBS & BRACES INC.
Entity Type:Organization
Organization Name:LAMBERTS LIMBS & BRACES INC.
Other - Org Name:LAMBERT'S ORTHOTICS & PROSTHETICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:L
Authorized Official - Last Name:LAMBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-769-2591
Mailing Address - Street 1:5412 DIJON DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-4315
Mailing Address - Country:US
Mailing Address - Phone:225-769-2591
Mailing Address - Fax:225-769-2568
Practice Address - Street 1:5412 DIJON DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4315
Practice Address - Country:US
Practice Address - Phone:225-769-2591
Practice Address - Fax:225-769-2568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-13
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA375810335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA27608OtherBLUE CROSS
LA1108839Medicaid
LA0401520002Medicare NSC