Provider Demographics
NPI:1013953652
Name:LAMBERT, ALAIN L (MD)
Entity Type:Individual
Prefix:
First Name:ALAIN
Middle Name:L
Last Name:LAMBERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34503 9TH AVE S STE 100
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-8726
Mailing Address - Country:US
Mailing Address - Phone:253-835-8700
Mailing Address - Fax:360-830-1385
Practice Address - Street 1:34503 9TH AVE S STE 100
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-8726
Practice Address - Country:US
Practice Address - Phone:253-835-8700
Practice Address - Fax:360-830-1385
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00027340207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8935080OtherSTATE CRIME VICTIMS
WA110185074OtherRAILROAD
WA1042533Medicaid
WA0126704OtherSTATE L&I
WA1057579Medicaid
WA110185074OtherRAILROAD
WA8935080OtherSTATE CRIME VICTIMS
WAAB08499Medicare ID - Type Unspecified