Provider Demographics
NPI:1790977817
Name:A LAMBERSON, M.D., LLC
Entity Type:Organization
Organization Name:A LAMBERSON, M.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:S
Authorized Official - Last Name:LAMBERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-981-2124
Mailing Address - Street 1:198 NARROWS DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-8662
Mailing Address - Country:US
Mailing Address - Phone:205-981-2124
Mailing Address - Fax:205-981-2134
Practice Address - Street 1:198 NARROWS DR
Practice Address - Street 2:SUITE 103
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-8662
Practice Address - Country:US
Practice Address - Phone:205-981-2124
Practice Address - Fax:205-981-2134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-13
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15962207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL09637OtherBLUE CROSS
AL009915615Medicaid
AL09637OtherBLUE CROSS