Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist | CA |
NPI | 1730396102 |
---|---|
Provider Name | Kristy L. Lambert |
First Address | La Mirada, CA 90638-4202 |
Second Address | Anaheim, CA 92801-2608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2007 |
Last Update Date | 30/01/2008 |