Provider Demographics
NPI:1790860286
Name:LAMBERTS ORTHOTICS-PROSTHETICS-PATIENT AIDS
Entity Type:Organization
Organization Name:LAMBERTS ORTHOTICS-PROSTHETICS-PATIENT AIDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:LAMBERT
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:504-897-6248
Mailing Address - Street 1:3217 CANAL ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-6203
Mailing Address - Country:US
Mailing Address - Phone:504-897-6248
Mailing Address - Fax:504-899-8733
Practice Address - Street 1:3217 CANAL ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-6203
Practice Address - Country:US
Practice Address - Phone:504-897-6248
Practice Address - Fax:504-899-8733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2019-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1109011Medicaid
LA0360470001OtherPTAN
LA0360470001OtherPTAN
LA1109011Medicaid