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NPI Code Detail

MEDICARE: ANGELIA DENISE LAMBERT LPTA

MEDICARE: ANGELIA DENISE LAMBERT LPTA
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
1225200000XPhysical Therapy AssistantPTA3393MS

General Provider Information

NPI Number : 1265580799
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELIA DENISE LAMBERT LPTA
Provider Business Mailing Address
First Line : 804 GREYMONT DR
Second Line :
City : COLUMBIA
State : MS
Zip : 39429-2408
Country : US
Telephone Number : 601-736-1494
Fax Number :
Provider Business Practice Location Address
First Line : 711 AVIGNON DR
Second Line :
City : RIDGELAND
State : MS
Zip : 39157-5120
Country : US
Telephone Number : 601-605-6777
Fax Number : 601-605-8869
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2007
Last Update Date : 07/08/2007

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Directions to “ ANGELIA DENISE LAMBERT LPTA” Practice Location

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