Provider Demographics
NPI:1598968877
Name:LAMBERT, FELICE JOY (LACDIPLAC)
Entity Type:Individual
Prefix:MS
First Name:FELICE
Middle Name:JOY
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:LACDIPLAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12719 DEWEY ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-1708
Mailing Address - Country:US
Mailing Address - Phone:310-737-1998
Mailing Address - Fax:
Practice Address - Street 1:12719 DEWEY ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90066-1708
Practice Address - Country:US
Practice Address - Phone:310-737-1998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3854171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist