Healthcare Provider Details

I. General information

NPI: 1336141316
Provider Name (Legal Business Name): SHAWNA CECILIA LAMBERT-PITT M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: SHAWNA CECILIA LAMBERT M.D

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3560 DELAWARE ST
BEAUMONT TX
77706-3060
US

IV. Provider business mailing address

1256 MOORE RD
BEAUMONT TX
77713-3919
US

V. Phone/Fax

Practice location:
  • Phone: 409-924-9666
  • Fax:
Mailing address:
  • Phone: 409-753-1578
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberL9302
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: