DESTRY W LAMBERT MD INC NPI 1033392808

NPI Information

NPI: 1033392808
Provider Name: DESTRY W LAMBERT MD INC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
403 FAIRGROUNDS RD
TIPTON, IN
ZIP 46072
Phone: (765) 675-7601
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DESTRY W LAMBERT MD INC is a primary care clinic center in Tipton, IN. DESTRY W LAMBERT MD INC NPI is 1033392808. The provider is registered as an organization entity type.

The provider's business location address is:

403 FAIRGROUNDS RD
TIPTON, IN
ZIP 46072-596
Phone: (765) 675-7601
Fax: (765) 675-8052

The provider's authorized official is Linnie Jean Rogers .
The authorized official title is Ofc Mgn and has the following contact phone number (765) 675-7601.

The enumeration date for this NPI number is 12/14/2007 and was last updated on 12/14/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	01024399	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	D70777	MEDICARE UPIN	INDIANA
2	100233710	MEDICAID	INDIANA
3	810490	MEDICARE PIN	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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