Healthcare Provider Details

I. General information

NPI: 1093760340
Provider Name (Legal Business Name): PAUL ANTHONY LAMBERT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 07/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1836 W PLAZA DR
WINCHESTER VA
22601-6365
US

IV. Provider business mailing address

1836 W PLAZA DR
WINCHESTER VA
22601-6365
US

V. Phone/Fax

Practice location:
  • Phone: 540-722-2280
  • Fax: 540-722-0763
Mailing address:
  • Phone: 540-722-2280
  • Fax: 540-722-0763

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number0101052328
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code2082S0099X
TaxonomyPlastic Surgery Within the Head and Neck (Plastic Surgery) Physician
License Number0101052328
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number0101052328
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: