Provider Demographics
NPI:1619902459
Name:LAMBERT, EUGENE JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:JOSEPH
Last Name:LAMBERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1635 N GEORGE MASON DR
Mailing Address - Street 2:SUITE 430
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-3601
Mailing Address - Country:US
Mailing Address - Phone:703-528-3600
Mailing Address - Fax:703-528-3609
Practice Address - Street 1:1635 N GEORGE MASON DR
Practice Address - Street 2:SUITE 430
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3601
Practice Address - Country:US
Practice Address - Phone:703-528-3600
Practice Address - Fax:703-528-3609
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101045261174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA77190001OtherCAREFIRST BCBS
VA541979762OtherANTHEM BCBS
VA3642724OtherAETNA
VA541979762OtherUNITED HEALTHCARE
VA541979762OtherMUTUAL OF OMAHA
VA7172582OtherAETNA PPO
VA9356938OtherPHCS
VA541979762OtherTRICARE
VAG01568Medicare ID - Type Unspecified
VA7172582OtherAETNA PPO