Healthcare Provider Details

I. General information

NPI: 1932844321
Provider Name (Legal Business Name): LESTER HOPLIN LAMBERT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2022
Last Update Date: 10/13/2023
Certification Date: 10/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92056 MARINE DR BLDG 22190
CAMP PENDLETON CA
92058
US

IV. Provider business mailing address

200 MERCY RD (RM 4172), PO BOX 555191 ATTN: MEDICAL STAFF SERVICES, FIRST MARINE EXPED. FORCE
CAMP PENDLETON CA
92055-5191
US

V. Phone/Fax

Practice location:
  • Phone: 760-725-2969
  • Fax:
Mailing address:
  • Phone: 347-247-9223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number0101279198
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: