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NPI Code Detail

MEDICARE: DR. CONNIE LAMBERT PH.D., PT

MEDICARE:  DR. CONNIE  LAMBERT  PH.D., PT
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 Therapist3680OH

General Provider Information

NPI Number : 1518089879
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CONNIE LAMBERT PH.D., PT
Provider Business Mailing Address
First Line : 6577 BUCKNER ST
Second Line :
City : CANAL WINCHESTER
State : OH
Zip : 43110-9072
Country : US
Telephone Number : 614-833-6923
Fax Number : 614-833-1204
Provider Business Practice Location Address
First Line : 565 CHILDRENS DR W
Second Line :
City : COLUMBUS
State : OH
Zip : 43205-2648
Country : US
Telephone Number : 614-228-5523
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2007
Last Update Date : 07/08/2007

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Directions to “ DR. CONNIE LAMBERT PH.D., PT” Practice Location

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