Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 016 004320 | IL |
Y | 222Z00000X | Podiatrist | 016 004320 | IL |
NPI | 1003881988 |
---|---|
Provider Name | Dr. Linda Sue Lambert |
First Address | River Forest, IL 60305-2214 |
Second Address | River Forest, IL 60305-2214 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2006 |
Last Update Date | 25/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
016004320 | (05) | IL |
4253980001 | DMERC (01) | |
480007493 | MEDICARE RAILROAD (01) | |
60001656 | BCBS (01) | |
P2182148 | OXFORD HEALTH PLAN (01) | |
T87091 | (02) |