Healthcare Provider Details

I. General information

NPI: 1639172976
Provider Name (Legal Business Name): JULIE D. LAMBERT APN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2005
Last Update Date: 11/23/2020
Certification Date: 11/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 CHARLOTTE ST
KANSAS CITY MO
64108-2727
US

IV. Provider business mailing address

2101 CHARLOTTE ST
KANSAS CITY MO
64108-2727
US

V. Phone/Fax

Practice location:
  • Phone: 816-404-0072
  • Fax:
Mailing address:
  • Phone: 816-404-0072
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2014022680
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: