Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | APN 7920 | TN |
NPI | 1023099074 |
---|---|
Provider Name | Mrs. Heather D Lambert |
First Address | Gordonsville, TN 38563 |
Second Address | Gordonsville, TN 38563-4652 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2005 |
Last Update Date | 10/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1527199 | (05) | TN |
3903382 | (05) | TN |
P34988 | (02) |