Provider Demographics
NPI:1609828342
Name:LAMBERT, JOAN C (DO)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:C
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P. O. BOX 8500 - 6335
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-0001
Mailing Address - Country:US
Mailing Address - Phone:215-807-8000
Mailing Address - Fax:215-807-8235
Practice Address - Street 1:2643 ORTHODOX ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19137-1626
Practice Address - Country:US
Practice Address - Phone:215-743-1400
Practice Address - Fax:215-743-1586
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS004726L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016406300001Medicaid
PA1026381OtherKEYSTONE MERCY
PA1622792OtherUNITED HEALTHCARE
PA01640630-02OtherAMERICHOICE
PA1115483OtherFIRST HEALTH
PA0016406300003Medicaid
PA012396OtherHIGHMARK BLUE SHIELD
PAPA0050351OtherTRICARE
PA0057661000OtherIBC,KEYSTONE
PA34670OtherHEALTH PARTNERS
PA0016406300002Medicaid
PA18259OtherAETNA
PA012396OtherPERSONAL CHOICE
PA1115483OtherFIRST HEALTH
PA012396OtherHIGHMARK BLUE SHIELD