Provider Demographics
NPI:1629667316
Name:LAMBERT, JANET SUE
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:SUE
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 VANSICKLE CT
Mailing Address - Street 2:
Mailing Address - City:POINT PLEASANT
Mailing Address - State:WV
Mailing Address - Zip Code:25550-2013
Mailing Address - Country:US
Mailing Address - Phone:304-675-5347
Mailing Address - Fax:304-675-5347
Practice Address - Street 1:103 VANSICKLE CT
Practice Address - Street 2:
Practice Address - City:POINT PLEASANT
Practice Address - State:WV
Practice Address - Zip Code:25550-2013
Practice Address - Country:US
Practice Address - Phone:304-675-5347
Practice Address - Fax:304-675-5347
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-16
Last Update Date:2021-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty