Healthcare Provider Details

I. General information

NPI: 1558526889
Provider Name (Legal Business Name): DAVID GEORGE LAMBERT NREMT-P
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2008
Last Update Date: 07/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BLDG 301 A ANDREWS AVE
FORT RUCKER AL
36362
US

IV. Provider business mailing address

BLDG 301 A ANDREWS AVE
FORT RUCKER AL
36362
US

V. Phone/Fax

Practice location:
  • Phone: 334-255-7032
  • Fax:
Mailing address:
  • Phone: 334-255-7032
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number9900879
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: