Healthcare Provider Details

I. General information

NPI: 1376542621
Provider Name (Legal Business Name): DAVID WINTON LAMBERTS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4003 22ND ST
LUBBOCK TX
79410-1115
US

IV. Provider business mailing address

4003 22ND ST
LUBBOCK TX
79410-1115
US

V. Phone/Fax

Practice location:
  • Phone: 806-792-3400
  • Fax: 806-792-2023
Mailing address:
  • Phone: 806-792-3400
  • Fax: 806-792-2023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberF2766
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: