Healthcare Provider Details

I. General information

NPI: 1396945747
Provider Name (Legal Business Name): JOSEPH ALAN LAMBERT II M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2007
Last Update Date: 08/19/2020
Certification Date: 08/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1530 LONE OAK RD
PADUCAH KY
42003-7901
US

IV. Provider business mailing address

PO BOX 139
EVANSVILLE IN
47701-0139
US

V. Phone/Fax

Practice location:
  • Phone: 405-509-1756
  • Fax:
Mailing address:
  • Phone: 812-471-1591
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number2012-01561
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number48565
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: