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NPI Code Detail

MEDICARE: MELANIE DIANE LAMBERT DPT

MEDICARE:   MELANIE DIANE LAMBERT  DPT
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
1225100000XPhysical TherapistT-02421KS
22251X0800XOrthopedic Physical Therapist13665NC
3225100000XPhysical TherapistPTL0019649CO

General Provider Information

NPI Number : 1508093279
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELANIE DIANE LAMBERT DPT
Provider Business Mailing Address
First Line : 600 S 21ST ST UNIT 130
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80904-3763
Country : US
Telephone Number : 719-634-1110
Fax Number : 719-634-1112
Provider Business Practice Location Address
First Line : 2375 TELSTAR DR STE 115
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-1029
Country : US
Telephone Number : 719-634-1110
Fax Number : 719-634-1112
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2009
Last Update Date : 03/06/2024

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Directions to “ MELANIE DIANE LAMBERT DPT” Practice Location

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