Provider Demographics
NPI:1720052236
Name:LAMBERT, SCOTT J (MBA, ATC)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:J
Last Name:LAMBERT
Suffix:
Gender:M
Credentials:MBA, ATC
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Mailing Address - Street 1:7119 PARKBROOK LN
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38018-7933
Mailing Address - Country:US
Mailing Address - Phone:901-213-3478
Mailing Address - Fax:901-321-3570
Practice Address - Street 1:650 E PARKWAY S
Practice Address - Street 2:BOX T-1
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-5519
Practice Address - Country:US
Practice Address - Phone:901-321-3263
Practice Address - Fax:901-321-3570
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer