Healthcare Provider Details

I. General information

NPI: 1114920428
Provider Name (Legal Business Name): EDWARD A LEMBERT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2005
Last Update Date: 02/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7235 N 1ST ST SUITE 103
FRESNO CA
93720-2964
US

IV. Provider business mailing address

7235 N 1ST ST SUITE 103
FRESNO CA
93720-2964
US

V. Phone/Fax

Practice location:
  • Phone: 559-432-2600
  • Fax: 559-432-8518
Mailing address:
  • Phone: 559-432-2600
  • Fax: 559-432-8518

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberC35648
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: