=====================================================
General NPI Number Information
=====================================================
NPI Number | 1255307492
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | STEVEN B LAMBERT M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/27/2006
-----------------------------------------------------
Last Update Date | 01/13/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2414 KOHLER MEMORIAL DR PULMONARY DEPT.
-----------------------------------------------------
City | SHEBOYGAN
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53081-3129
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 920-457-4461
-----------------------------------------------------
Fax | 920-459-1168
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2414 KOHLER MEMORIAL DR PULMONARY DEPT.
-----------------------------------------------------
City | SHEBOYGAN
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53081-3129
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 920-457-4461
-----------------------------------------------------
Fax | 920-459-1168
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RP1001X
-----------------------------------------------------
Taxonomy Name | Pulmonary Disease Physician
-----------------------------------------------------
License Number | 29647020
-----------------------------------------------------
License Number State | WI
-----------------------------------------------------