MEDICARE: ELIZABETH ANN LAMBERT D.D.S.

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	122300000X	Dentist	021660	OH

General Provider Information

NPI Number	:	1447479514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH ANN LAMBERT D.D.S.

Provider Business Mailing Address
First Line	:	31350 PINETREE RD
Second Line	:
City	:	PEPPER PIKE
State	:	OH
Zip	:	44124-5939
Country	:	US
Telephone Number	:	216-526-3172
Fax Number	:	216-526-3377

Provider Business Practice Location Address
First Line	:	3700 PARK EAST DR STE 180
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-4339
Country	:	US
Telephone Number	:	216-464-3777
Fax Number	:	216-464-3377

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

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	07/08/2007

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