=====================================================
General NPI Number Information
=====================================================
NPI Number | 1316829443
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CAROL C LAMBERT MSN,APRN, FNP-BC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/21/2025
-----------------------------------------------------
Last Update Date | 07/21/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 73015 HIGHWAY 25 STE A
-----------------------------------------------------
City | COVINGTON
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70435-5694
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 985-893-3361
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 14224 GRACI RD
-----------------------------------------------------
City | FOLSOM
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70437-5012
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 985-981-9017
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | 242535
-----------------------------------------------------
License Number State | LA
-----------------------------------------------------