Provider Demographics
NPI:1790163178
Name:LAMBERTH, LYNNE (WHCNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:LYNNE
Middle Name:
Last Name:LAMBERTH
Suffix:
Gender:F
Credentials:WHCNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:373 UPPER RIVER RD
Mailing Address - Street 2:
Mailing Address - City:HAWKINSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31036-7945
Mailing Address - Country:US
Mailing Address - Phone:478-783-6110
Mailing Address - Fax:478-783-6122
Practice Address - Street 1:373 UPPER RIVER RD
Practice Address - Street 2:
Practice Address - City:HAWKINSVILLE
Practice Address - State:GA
Practice Address - Zip Code:31036-7945
Practice Address - Country:US
Practice Address - Phone:478-783-6110
Practice Address - Fax:478-783-6122
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-18
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN085779363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health