Healthcare Provider Details

I. General information

NPI: 1700798907
Provider Name (Legal Business Name): GLENDA S LAMBERT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

733 S 1ST ST
GLENROCK WY
82637-5007
US

IV. Provider business mailing address

733 S 1ST ST
GLENROCK WY
82637-5007
US

V. Phone/Fax

Practice location:
  • Phone: 307-315-3391
  • Fax:
Mailing address:
  • Phone: 307-315-3391
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: