Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 6725 | NE |
Y | 1223P0700X | Prosthodontist | 00203569 | CO |
N | 1223P0700X | Prosthodontist | 6725 | NE |
NPI | 1124214333 |
---|---|
Provider Name | Dr. Stephen Lambert |
First Address | Apo, AP 96367-0094 |
Second Address | Apo, AP 96368 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2007 |
Last Update Date | 29/09/2021 |