Healthcare Provider Details

I. General information

NPI: 1598769549
Provider Name (Legal Business Name): MICHAEL B LAMBERT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2005
Last Update Date: 05/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6850 HILLTOP RD STE 100
SHAWNEE KS
66226-3532
US

IV. Provider business mailing address

6850 HILLTOP RD STE 100
SHAWNEE KS
66226-3532
US

V. Phone/Fax

Practice location:
  • Phone: 913-441-5757
  • Fax: 913-441-7979
Mailing address:
  • Phone: 913-441-5757
  • Fax: 913-441-7979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number04-23568
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: