Healthcare Provider Details

I. General information

NPI: 1417151952
Provider Name (Legal Business Name): DINAH LAMBERT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14566 7TH ST
VICTORVILLE CA
92395-4214
US

IV. Provider business mailing address

24 HAMMOND STE C
IRVINE CA
92618-1680
US

V. Phone/Fax

Practice location:
  • Phone: 760-843-0895
  • Fax: 760-843-0894
Mailing address:
  • Phone: 949-770-6022
  • Fax: 949-770-7084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT15539
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: