Provider Demographics
NPI:1811947609
Name:LAMBERTS, ERIC W (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:W
Last Name:LAMBERTS
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 1:1240 E 9TH ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89512-2964
Mailing Address - Country:US
Mailing Address - Phone:775-250-0041
Mailing Address - Fax:775-789-4241
Practice Address - Street 1:1240 E 9TH ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89512-2964
Practice Address - Country:US
Practice Address - Phone:775-250-0041
Practice Address - Fax:775-789-4241
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-11
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4633207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002016190Medicaid
P00086990OtherRR MEDICARE
VOOOBFBGQMedicare ID - Type Unspecified
NV002016190Medicaid