Provider Demographics
NPI:1710522743
Name:LAMBERT, KAREN DARCEL
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:DARCEL
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 1:202 N HILL LN
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-6604
Mailing Address - Country:US
Mailing Address - Phone:757-705-1245
Mailing Address - Fax:757-410-7914
Practice Address - Street 1:202 N HILL LN
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-6604
Practice Address - Country:US
Practice Address - Phone:757-705-1245
Practice Address - Fax:757-410-7914
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-13
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAUUR2561347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle