Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 0101052328 | VA |
N | 208600000X | Surgeon | 0101052328 | VA |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 0101052328 | VA |
NPI | 1093760340 |
---|---|
Provider Name | Paul Anthony Lambert |
First Address | Winchester, VA 22601-6365 |
Second Address | Winchester, VA 22601-6365 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2006 |
Last Update Date | 08/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H34229 | (02) | VA |