Healthcare Provider Details

I. General information

NPI: 1902815491
Provider Name (Legal Business Name): DAVID LAMBERT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 02/22/2021
Certification Date: 02/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2050 KENNY RD 4TH FLOOR TOWER
COLUMBUS OH
43221-3502
US

IV. Provider business mailing address

700 ACKERMAN RD STE 2120
COLUMBUS OH
43202-1559
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-0404
  • Fax: 614-366-7147
Mailing address:
  • Phone: 614-293-0404
  • Fax: 614-366-7147

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number35048010
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number35048010
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: