Healthcare Provider Details

I. General information

NPI: 1992720981
Provider Name (Legal Business Name): LAMBERTH & RONSON, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 08/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2022 BROOKWOOD MEDICAL CTR DR SUITE 403 ACC
BIRMINGHAM AL
35209-6808
US

IV. Provider business mailing address

2022 BROOKWOOD MEDICAL CTR DR SUITE 403 ACC
BIRMINGHAM AL
35209-6808
US

V. Phone/Fax

Practice location:
  • Phone: 205-877-2627
  • Fax: 205-871-7602
Mailing address:
  • Phone: 205-877-2627
  • Fax: 205-871-7602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. WADE C. LAMBERTH JR.
Title or Position: PRESIDENT
Credential: MD
Phone: 205-877-2627