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NPI Code Detail

MEDICARE: SAM MARSHALL LAMBERT

MEDICARE:   SAM MARSHALL LAMBERT
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1568082949
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAM MARSHALL LAMBERT
Provider Business Mailing Address
First Line : 800 N OKLAHOMA AVE APT 1309
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73104-4413
Country : US
Telephone Number : 918-557-6678
Fax Number :
Provider Business Practice Location Address
First Line : 800 N OKLAHOMA AVE APT 1309
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73104-4413
Country : US
Telephone Number : 918-557-6678
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2020
Last Update Date : 04/25/2020

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Directions to “ SAM MARSHALL LAMBERT ” Practice Location

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