Healthcare Provider Details

I. General information

NPI: 1689033359
Provider Name (Legal Business Name): HEATHER LAMBERT RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/23/2016
Last Update Date: 02/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 DELAWARE ST
IRONTON OH
45638-1010
US

IV. Provider business mailing address

2316 S 6TH ST
IRONTON OH
45638-2547
US

V. Phone/Fax

Practice location:
  • Phone: 740-532-2209
  • Fax:
Mailing address:
  • Phone: 740-534-3136
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN403258
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: