Provider Demographics
NPI:1679234306
Name:LAMBERT, LEEANNE BENTLEY (RRT)
Entity Type:Individual
Prefix:MS
First Name:LEEANNE
Middle Name:BENTLEY
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 KENILWORTH DR
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-6763
Mailing Address - Country:US
Mailing Address - Phone:330-802-1349
Mailing Address - Fax:
Practice Address - Street 1:2631 COPLEY RD
Practice Address - Street 2:
Practice Address - City:COPLEY
Practice Address - State:OH
Practice Address - Zip Code:44321-2107
Practice Address - Country:US
Practice Address - Phone:330-666-2631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-05
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH55072279S1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279S1500XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredSNF/Subacute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH5507OtherN/A