Provider Demographics
NPI:1598898140
Name:LAMBERT, EDGAR E JR (LMT)
Entity Type:Individual
Prefix:MR
First Name:EDGAR
Middle Name:E
Last Name:LAMBERT
Suffix:JR
Gender:M
Credentials:LMT
Other - Prefix:
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Mailing Address - Street 1:120 MEDICAL BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-0220
Mailing Address - Country:US
Mailing Address - Phone:352-686-0086
Mailing Address - Fax:352-684-2081
Practice Address - Street 1:120 MEDICAL BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34609-0220
Practice Address - Country:US
Practice Address - Phone:352-686-0086
Practice Address - Fax:352-684-2081
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLMA46071225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist