MEDICARE: TIWANNA LAMBERT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	APRN-263615	GA

General Provider Information

NPI Number	:	1023842598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIWANNA LAMBERT

Provider Business Mailing Address
First Line	:	3731 WARTRACE DR
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30331-8032
Country	:	US
Telephone Number	:	678-557-9783
Fax Number	:

Provider Business Practice Location Address
First Line	:	3731 WARTRACE DR
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30331-8032
Country	:	US
Telephone Number	:	678-557-9783
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2024
Last Update Date	:	02/26/2026

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Directions to “ TIWANNA LAMBERT ” Practice Location

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