Provider Demographics
NPI:1609974948
Name:LAMBERSON, ANDREA SAXON (MD)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:SAXON
Last Name:LAMBERSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:198 NARROWS DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-8662
Mailing Address - Country:US
Mailing Address - Phone:205-981-2124
Mailing Address - Fax:205-981-2134
Practice Address - Street 1:198 NARROWS DR
Practice Address - Street 2:SUITE 103
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-8662
Practice Address - Country:US
Practice Address - Phone:205-981-2124
Practice Address - Fax:205-981-2134
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15962207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL4402338OtherAETNA
AL4402338OtherAETNA