Healthcare Provider Details

I. General information

NPI: 1912326083
Provider Name (Legal Business Name): KATHERINE LAMBERT DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2014
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 SOUTHERN BLVD
DAYTON OH
45429-1221
US

IV. Provider business mailing address

L-3402
COLUMBUS OH
43260-0243
US

V. Phone/Fax

Practice location:
  • Phone: 937-395-8627
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number86338
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number34.018919
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberME184892
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: