MEDICARE: JULIE 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	235Z00000X	Speech-Language Pathologist	2014027360	MO

General Provider Information

NPI Number	:	1932518883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE LAMBERT

Provider Business Mailing Address
First Line	:	711 WOODLAND AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64106-1746
Country	:	US
Telephone Number	:	816-418-5918
Fax Number	:

Provider Business Practice Location Address
First Line	:	711 WOODLAND AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64106-1746
Country	:	US
Telephone Number	:	816-418-5918
Fax Number	:

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

Provider Enumeration Date	:	08/05/2014
Last Update Date	:	09/11/2014

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Directions to “ JULIE LAMBERT ” Practice Location

Language	Start Address	Practice Location

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