MEDICARE: DR. VICTOR E LAMBERT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	039616	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154317790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VICTOR E LAMBERT M.D.

Provider Business Mailing Address
First Line	:	PO BOX 3188
Second Line	:
City	:	MANCHESTER
State	:	GA
Zip	:	31816-3188
Country	:	US
Telephone Number	:	706-846-3151
Fax Number	:	706-846-2768

Provider Business Practice Location Address
First Line	:	3214 ROOSEVELT HWY
Second Line	:
City	:	MANCHESTER
State	:	GA
Zip	:	31816-6418
Country	:	US
Telephone Number	:	706-846-3151
Fax Number	:	706-846-2768

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2005
Last Update Date	:	12/07/2009

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