Organization Name: | CARLA J. LAMBERT, MD, LLC |
NPI Number: | 1134294747 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CARLA JEAN LAMBERT (OWNER) |
Mailing Address: | 10764 Rhode Island Ave Beltsville |
State: | MD US |
Postal Code: | 207052513 |
Phone Number: | 3019373323 |
Fax Number: | 3015720058 |
NPI Enumeration Date: | 11/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | D0065317 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |