MEDICARE: JOSEPH GORDON LAMBERT MD

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	208000000X	Pediatrics Physician	151496-1205	UT

General Provider Information

NPI Number	:	1225817273
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH GORDON LAMBERT MD

Provider Business Mailing Address
First Line	:	710 N TERRACE HILLS DR
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84103-4036
Country	:	US
Telephone Number	:	801-363-1026
Fax Number	:

Provider Business Practice Location Address
First Line	:	710 N TERRACE HILLS DR
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84103-4036
Country	:	US
Telephone Number	:	801-363-1026
Fax Number	:

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

Provider Enumeration Date	:	09/27/2023
Last Update Date	:	09/27/2023

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