Healthcare Provider Details

I. General information

NPI: 1659674711
Provider Name (Legal Business Name): ANGELA LAMBERT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANGELA PREETIKA LAL MD

II. Dates (important events)

Enumeration Date: 12/13/2010
Last Update Date: 03/03/2020
Certification Date: 03/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3235 MILL VISTA RD
HIGHLANDS RANCH CO
80129-2440
US

IV. Provider business mailing address

5525 RESEARCH PARK DR FL 4
BALTIMORE MD
21228-4873
US

V. Phone/Fax

Practice location:
  • Phone: 303-876-8320
  • Fax: 303-876-8325
Mailing address:
  • Phone: 303-876-8320
  • Fax: 888-701-4175

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME65140
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number48209
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: