Provider Demographics
NPI:1821358953
Name:LAMBERT, EDWINA KATHARINE (LPN)
Entity type:Individual
Prefix:MRS
First Name:EDWINA
Middle Name:KATHARINE
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 FARM AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:OH
Mailing Address - Zip Code:45005-2720
Mailing Address - Country:US
Mailing Address - Phone:937-789-2543
Mailing Address - Fax:
Practice Address - Street 1:23 FARM AVE
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:OH
Practice Address - Zip Code:45005-2720
Practice Address - Country:US
Practice Address - Phone:937-789-2543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-23
Last Update Date:2012-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.100782-MEDS164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse