Provider Demographics
NPI:1396794848
Name:LAMBERT, NANCY ANN (MA, RD, LD)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:ANN
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:MA, RD, LD
Other - Prefix:MISS
Other - First Name:NANCY
Other - Middle Name:ANN
Other - Last Name:DILORETO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA RD LD
Mailing Address - Street 1:667 EASTLAND AVENUE S.E.
Mailing Address - Street 2:ST. JOSEPH WARREN HOSPITAL
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44484
Mailing Address - Country:US
Mailing Address - Phone:330-841-4000
Mailing Address - Fax:
Practice Address - Street 1:667 EASTLAND AVENUE S.E.
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484
Practice Address - Country:US
Practice Address - Phone:330-841-4000
Practice Address - Fax:330-841-4927
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3889133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered