MEDICARE: SHANNON LAMBERT PA

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	363A00000X	Physician Assistant	PA682	WY

General Provider Information

NPI Number	:	1598113243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANNON LAMBERT PA

Provider Business Mailing Address
First Line	:	PO BOX 20970
Second Line	:
City	:	CHEYENNE
State	:	WY
Zip	:	82003-7020
Country	:	US
Telephone Number	:	307-996-1560
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 E 20TH ST
Second Line	:	SUITE 350
City	:	CHEYENNE
State	:	WY
Zip	:	82001-3859
Country	:	US
Telephone Number	:	307-996-1560
Fax Number	:

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

Provider Enumeration Date	:	06/02/2016
Last Update Date	:	05/11/2026

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Directions to “ SHANNON LAMBERT PA” Practice Location

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