| Doctor Name: | MR. DESTRY W LAMBERT |
| NPI Number: | 1427047950 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 01024399A |
| Business Practice Address: | 403 Fairgrounds Rd Tipton, IN - 460729596 |
| Business Phone Number: | 7656757601 |
| Business Fax Number: | 7656758052 |
| Mailing Address: | Po Box 358, TIPTON |
| State: | IN |
| Postal Code: | 460720358 |
| Phone Number: | 7656758119 |
| Fax Number: | 7656758257 |
| NPI Enumeration Date: | 10/18/2005 |
| NPI Last Update Date: | 09/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 01024399A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |