Provider Demographics
NPI:1952527020
Name:LAMBERT, GALE F (OTR)
Entity Type:Individual
Prefix:MR
First Name:GALE
Middle Name:F
Last Name:LAMBERT
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:493 E TILSON ST
Mailing Address - Street 2:
Mailing Address - City:WEST SALEM
Mailing Address - State:WI
Mailing Address - Zip Code:54669-1207
Mailing Address - Country:US
Mailing Address - Phone:608-786-1558
Mailing Address - Fax:608-784-5345
Practice Address - Street 1:3000 SOUTH AVE
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-6754
Practice Address - Country:US
Practice Address - Phone:608-784-9450
Practice Address - Fax:608-784-5345
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI262-026225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI40657400Medicaid