Provider Demographics
NPI:1861643553
Name:LAMBERTSON, MONIKA ELIZABETH (MS,RD,LD)
Entity Type:Individual
Prefix:MRS
First Name:MONIKA
Middle Name:ELIZABETH
Last Name:LAMBERTSON
Suffix:
Gender:F
Credentials:MS,RD,LD
Other - Prefix:MS
Other - First Name:MONIKA
Other - Middle Name:ELIZABETH
Other - Last Name:THALER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS,RD,LD
Mailing Address - Street 1:1515 N FLAGLER DR STE 430
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-3430
Mailing Address - Country:US
Mailing Address - Phone:561-659-6336
Mailing Address - Fax:
Practice Address - Street 1:1515 N FLAGLER DR STE 430
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-3430
Practice Address - Country:US
Practice Address - Phone:561-659-6336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-01
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND5186133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered