Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 206111-4405 | UT |
NPI | 1013060524 |
---|---|
Provider Name | Linda M Lambert |
First Address | Salt Lake City, UT 84158-0049 |
Second Address | Salt Lake City, UT 84113-1103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2007 |
Last Update Date | 15/12/2021 |