Healthcare Provider Details

I. General information

NPI: 1558127506
Provider Name (Legal Business Name): LAMBERT WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2024
Last Update Date: 02/27/2024
Certification Date: 02/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9990 COCONUT RD STE 324
ESTERO FL
34135-8488
US

IV. Provider business mailing address

9990 COCONUT RD STE 324
ESTERO FL
34135-8488
US

V. Phone/Fax

Practice location:
  • Phone: 239-248-6079
  • Fax: 239-444-1995
Mailing address:
  • Phone: 239-248-6079
  • Fax: 239-444-1995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER LAMBERT
Title or Position: OWNER/OPERATOR
Credential: LMT, LE
Phone: 239-776-4055