| Doctor Name: | CHARLES PRACHT LAMBERTZ |
| NPI Number: | 1477648343 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LSCSW |
| License Number: | 3969 |
| Business Practice Address: | 210 W 21st St Concordia, KS - 669015200 |
| Business Phone Number: | 7852438900 |
| Business Fax Number: | 7852438933 |
| Mailing Address: | Po Box 747, MANHATTAN |
| State: | KS |
| Postal Code: | 665050747 |
| Phone Number: | 7855874300 |
| Fax Number: | 7855874377 |
| NPI Enumeration Date: | 10/04/2006 |
| NPI Last Update Date: | 01/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 3969 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |