Healthcare Provider Details

I. General information

NPI: 1558369470
Provider Name (Legal Business Name): LAMBERTS LIMBS & BRACES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2005
Last Update Date: 04/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5412 DIJON DR
BATON ROUGE LA
70808-4315
US

IV. Provider business mailing address

5412 DIJON DR
BATON ROUGE LA
70808-4315
US

V. Phone/Fax

Practice location:
  • Phone: 225-769-2591
  • Fax: 225-769-2568
Mailing address:
  • Phone: 225-769-2591
  • Fax: 225-769-2568

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number375810
License Number StateLA

VIII. Authorized Official

Name: MR. THOMAS L LAMBERT
Title or Position: OWNER
Credential:
Phone: 225-769-2591